Conventional vs noninvasive upper lid blepharoplasty in upper lid dermatochalasis: a comparative case series study

Purpose The aim of this study was to compare the efficiency of fractional plasma with conventional surgical upper lid blepharoplasty in the management of upper lid dermatochalasis. Patients and methods This is a prospective, comparative, interventional case series study that included 10 patients with bilateral upper lid dermatochalasis. Surgical upper eyelid blepharoplasty was performed on one side and fractional plasma (Blepharoplasma, Plasmage) was performed on the other side for each patient. The outcome was compared between both sides of each patient in terms of the amount of residual excess skin, patient satisfaction with lid contour, scar line, and pretarsal platform, in addition to the duration of the procedure and postoperative complications. Results No statistically significant difference was found in terms of patient satisfaction between the two techniques. Lid edema was noted in both groups. However, ecchymosis was significantly more obvious in the eyelid that underwent surgical blepharoplasty compared with the lid that underwent fractional plasma, but it resolved within the first week. Conclusion Fractional plasma may offer a less invasive alternative to surgical upper lid blepharoplasty in mild to moderate cases with some limitations regarding fat prolapse and the severity of dermatochalasis.