Abstract
Purpose
To measure the efficacy of “Minibleph,” a minimally invasive, non-incisional technique that utilizes a fractional CO2 laser for periocular rejuvenation.
Methods
3-month case series of 22 eyes with eyelid skin laxity, periocular wrinkles and dermatochalasis treated with a CO2 laser with a fractional ablative resurfacing scanner. Included data were pre/post procedure ocular skin laxity, texture and pigmentation, lid measurements, dermatochalasis grade and satisfaction questionnaires.
Results
At 3 months post-treatment, all patients had improved skin laxity and texture where 54.5% of eyelids were in the 4th quartile (75–100% improvement). No signs of postreatment hyperpigmentation. Moreover, there was significant improvement in Eyelid Fold (p-value 0.048), MRD1 (p-value 0.008) and Palpebral Fissure (p-value 0.008) values. There was significant improvement of dermatochalasis (p-value 0.034) where 11 eyelids (50%) improved in dermatochalasis grade. FACE-Q questionnaire showed significant decrease of Upper/ Lower Eyelid Rasch scores (p-value 0.03). Recovery Early Symptoms mean value was low (25.55/100), while means of the Satisfaction with Outcome was high (78.82/100).
Conclusion
“Minibleph” is a safe technique for periocular rejuvenation, improving skin laxity, texture and wrinkles. It may also improve mild dermatochalasis and palpebral fissure opening, However, it is not suitable for correcting moderate to severe dermatochalasis that requires surgical intervention.