The combined use of fractional laser and blepharoplasty in the correction of involutive changes in the periorbital region

Background. Of particular interest is the eye lift. For this purpose, various instrumental and surgical methods are used. For many years laser therapy methods remain the “gold" standard for the correction of age-related changes. Many questions of combined methods, however, are still open, therefore, the search and development of the most effective protocols for their use are considered an urgent task of modern medicine. Objective. Based on the evaluation of the results of clinical efficacy, development of a combined method for the correction of involutive skin changes in the periorbital region in young and middle-aged patients using fractional Nd:YAG and CO2 laser in combination with transconjunctival lower blepharoplasty. Methods. The study involved 108 patients with involutive changes in the skin of the lower eyelid. Depending on the method of treatment, patients were divided into groups. The study used a clinical diagnostic complex using special clinical methods: a photoaging scale for eyelid skin, an aesthetic global rating scale (GRS), and an adapted rating scale for satisfaction with treatment results (FACE-Q Eye Module). Results. According to the GRS scale, the “loss of elasticity" indicator in the 3rd group decreased by 78.9% (compared with 69.2 and 52.3% for the 1st and 2nd groups), the “tuberosity" indicator - by 54.8% (47.6 and 36.8% for the 1st and 2nd groups), the «dehydration» indicator - by 79.02% (67.2 and 40.5% for the 1st and 2nd group), which contributed to the reduction of wrinkles by 90.1/93.4% vs 57.4/63.8% and 89.3/91.6 in the 1st and 2nd groups, respectively. The patient satisfaction index analyzed using the adapted FACE-Q Eye Module scale increased by 63.1%, while in the comparison groups it increased by 41.7and 53.5%, respectively, which indicates the high clinical efficacy of the developed combination treatment method. Conclusion. Based on the study, it can be concluded that the developed combined treatment method is highly effective.

fractional Nd:YAG and CO2 laser, blepharoplasty, involutive changes in the skin of the lower eyelid