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ARTICLE | FACIALAESTHETICS |


PERIORBITAL REJUVENATION USING


CO2 RESURFACING CO2 ABSTRACT


Aesthetic surgery of the periorbital area ranks among the most challenging of surgical procedures. The complex and fragile anatomy, the proximity of vital structures, and the tremendous psychological and social import attached to the


F 30 ❚


and laser resurfacing have been practised for many years, it is necessary to review the benefits of the laser as a surgical tool.


eyes require precise judgment when performing surgical rejuvenation of this area. Although incisional CO2


laser


ACIAL AGEING REFLECTS the dynamic, cumulative effects of time on the skin, soft tissues, and deep structural components of the face, and is a complex


synergy of textural changes to the skin and loss of facial volume. Many of the facial manifestations of ageing reflect the combined effects of gravity, progressive bone resorption, decreased tissue elasticity, and redistribution of subcutaneous fullness1


. As in all other organ systems, the


skin and its appendages undergo characteristic changes with advanced ageing. Many of the changes to the face secondary to ageing are the result of time acting on skin that is becoming progressively thinner, drier, and less elastic. At the periorbital area, as well as changes


to the skin, there are also additional changes of facial expression. The superior-medial orbital components of the orbicularis oculi muscle function as depressors of the medial eyebrow, while the superior lateral orbital


Furthermore, it is paramount to recall the unique importance of this technique in skin tightening. Appropriate patient selection is essential for successful results and unwanted complications, so this article aims to re-evaluate these standards.


orbicularis partly acts as a depressor of the lateral eyebrow. Forceful contraction of the orbital component induces concentric folds emanating from the lateral canthus, resulting in lateral canthal lines or ‘crow’s feet’. Facial ageing is associated with a loss of


soft tissue fullness in certain areas (periorbital, forehead, malar, temporal, mandibular, mental, glabellar, and perioral sites) and persistence or hypertrophy of fat in others (submental, lateral nasolabial fold and labiomental crease, infraorbital fat pouches, and malar fat pad)2, 3


. One anti-ageing breakthrough that has


come with the advance of technology, according to many, is skin resurfacing treatments with CO2


laser therapy. This


article discusses the use of this technology for facial rejuvenation, focusing particularly on the rejuvenation of the eyes.


Anatomy of the eyes The eyelids protect the anterior surface of the globe. Additionally, they aid in the regulation of light reaching the eye; in


November/December 2012 | prime-journal.com laser resurfacing can be considered a gold standard


treatment for facial rejuvenation. In this article, Rengin Griffin considers issues of anatomy and treatment protocols when using this technique around the eyes


LASER SKIN


RENGIN GRIFFIN is Professor of Ophthalmology, Cerrahpasa Medical School, İstanbul University


email: rengingriffin@gmail.com


KEYWORDS CO2


laser, skin resurfacing, eyelids


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