Transconjunctival laser Blepharoplasty of lower eyelids: Asian experience with 1340 cases

BACKGROUND. Lower eyelid bulging is a result of the aging process, but it can sometimes be severe in young people. This condition can cause considerable aesthetic problems to many patients. OBJECTIVE. To determine the effectiveness of transconjunctival laser blepharoplasty in treating Asian skin. METHODS. Since 1995, our clinic has performed 1,340 procedures to remove the fat bulging of lower eyelids using a carbon dioxide laser. RESULTS. The most common complaints were edema and transient discomfort and red eye; 82% of the patients were satisfied (1,099 patients rated a score of 3 or 4). The incidence of complications was very low. CONCLUSION. Transconjunctival laser blepharoplasty of lower eyelids is a safe, low-risk procedure with excellent cosmetic results. It makes no visible scar and reduces downtime. This is also good for patients with previous surgical scars on their lower eyelid.