Micropunch blepharopeeling of the upper eyelids: a combination approach for periorbital rejuvenation--a pilot study.
BACKGROUND
Upper eyelid skin excess is commonly treated using a surgical excision that is then sutured, resulting in a linear scar. Deep chemical peeling of the upper eyelids using the Baker Gordon formula has been described as a nonsurgical alternative to tighten upper eyelid skin with the advantage of lessening periorbital rhytides, although prolonged healing and hypopigmentation are risks. The goal of this study was to show the benefits of a less-invasive approach to periorbital rejuvenation that combines 89% phenol peeling with small, nonlinear excisions that heal by secondary intention.


METHODS
Eight patients were chosen (mean age 59.6). All patients had thin to medium-thick skin, diffuse periorbital rhytides, and mild to moderate upper eyelid skin excess. Their eyelids were peeled using 89% phenol. Immediately after peeling, a scissor was used to make multiple small nonlinear excisions of upper eyelid skin that healed by secondary intention.


RESULTS
Patients were satisfied with the results, and no complications or scarring occurred.


CONCLUSIONS
Eighty-nine percent phenol peeling combined with multiple small upper eyelid skin excisions effectively tightens upper eyelid skin excess and lessens periorbital rhytides. The procedure has the advantage of not creating a linear scar and decreases the risk of prolonged healing and hypopigmentation, which is more likely with deeper peels.
Private Practice, Spring Lake, New Jersey.
J Barton
JB
Sterling
D000368:Aged; D019882:Blepharoplasty / Q000379:methods*; D002615:Chemexfoliation / Q000379:methods*; D003131:Combined Modality Therapy; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010865:Pilot Projects; D012060:Rejuvenation; D015361:Rhytidoplasty / Q000379:methods*