Abstract
Upper eyelid aging often presents with excess, loose and inelastic skin (dermatochalasis) or soft and bone tissue volume loss (hollow eyes). For years, the treatment of choice was traditional surgical blepharoplasty, utilizing either excess tissue removal or fat grafting, respectively. However, techniques such as hyaluronic acid fillers, fractional CO2 laser application, and plasma exeresis are currently emerging as minimally invasive therapeutic alternatives. 1 Romeo F. Upper Eyelid filling with or without surgical treatment. Aesthetic Plast Surg. 2016; 40: 223-235 Crossref PubMed Scopus (10) Google Scholar , 2 Liew S. Nguyen D.Q.A. Nonsurgical volumetric upper periorbital rejuvenation: a plastic surgeon's perspective. Aesthetic Plast Surg. 2011; 35: 319-325 Crossref PubMed Scopus (36) Google Scholar , 3 Toyos M.M. Continuous wave fractional CO2 laser for the treatment of upper eyelid dermatochalasis and periorbital rejuvenation. Photomed Laser Surg. 2017; 35: 278-281 Crossref PubMed Scopus (11) Google Scholar , 4 Balzani A. Chilgar R.M. Nicoli M. Sapountzis S. Lazzeri D. Cervelli V. et al. Novel approach with fractional ultrapulse CO2 laser for the treatment of upper eyelid dermatochalasis and periorbital rejuvenation. Lasers Med Sci. 2013; 28: 1483-1487 Crossref PubMed Scopus (16) Google Scholar , 5 Rossi E. Farnetani F. Trakatelli M. Ciardo S. Pellacani G. Clinical and confocal microscopy study of plasma exeresis for nonsurgical blepharoplasty of the upper eyelid: a pilot study. Dermatol Surg. 2018; 44: 283-290 Crossref PubMed Scopus (17) Google Scholar This study aimed to assess the effectiveness of these non-surgical upper eyelid rejuvenation techniques.
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