Comparison of Clinical Outcomes of CO2 Laser Assisted Upper Lid Blepharoplasty by Two Different Methods: a Randomized Clinical Trial Study

Comparison of Post Surgical Complications, Treatment Results and Patient Satisfaction of Two Different Laser Assissted Blepharoplasty of Upper Lids

Randomized Clinical Trial with Parallel Group of 21 Patients, Double Blinded on Patient and Outcome assessment

In this Study, Upper Lid Bilateral Blepharoplasty will be operated in Patients with Mild to Severe Bilateral Ptosis referred to the Maxillofacial Surgery Department of Imam Khomeini Hospital. All Surgeries will be performed by the same Surgeon and the Surgical Position was randomly assigned using Digital Randomization. After Local Anesthesia, the Amount of Extra Tissue will be determined by the Pinch's Technique. On One Side, the Scalpel 15 and on the other Side the CO2 Laser is used for cutting the Skin. Other Surgical Procedures will be Laser-based. In the Area under Laser Surgery for cutting the Skin, the Program Settings 1 (Continuous Emission / Ultrapulse Mode / Power 3 W) and for Muscle cutting, the Program Settings 2 (Continuous Emission / Regular Mode / Power 9 W) will be used. After the Supratarsal Incision, the Skin and Subcutaneous Tissue are removed and the Medial Fatty Tissue will be cuttered.

inclusion criteria: Normal Ophtalmic Examination and Bilateral Mild to Sever Ptosis of Upper Lids exclusion criteria: Anticoagulant therapy, Coagulopathy, Disorders causing Peripheral Neuropathy such as Diabetes Mellitus, History of Trauma or Surgery of Upper lLids and Skin Disorders

In Each Patient, Skin Incision was made by the Scalpel no.15 on One Side and the CO2 Laser on the Opposite Side. Other Surgical Procedures will be Same and Laser-based. Each Patient will receiv both Treatment Modalities.

Edema, Ecchymosis and Erythema Days of 1, 3, 7, 14 and 30 after Surgery and Scar at the Field of Surgery after 60 Days

Through Software, 21 series (as 21 patients) are randomized between numbers of 1 (as the Blade and Laser group) or 2 (the Laser group alone). (www.randomizer.org). In each patient, selected number will determine surgical approach of the right eye. The left eye will be treated by the opposite approach.

Although Each Patient will be informed about the Application of Two Surgical Methods , the Treatment Modality of Each Lid will not be determined. Post Operation Instructions will be Same in Two Lids. The Person Responsible for Evaluation of Treatment Results in Predetermined Time Sequence will score each Lid Blinded on Treatment Modality.