Upper Eyelid Blepharoplasty

Ageing and the habitual and physiological contraction of the facial musculature causes wrinkles, small creases, excess skin, and skin relaxation that can take on unsightly characteristics. The removal of these imperfections can be carried out with devices using high-frequency energy (RF), which develop heat between 400°C and 600°C and rapidly vaporise intra- and extracellular fluids with consequent drying of the skin. In order to avoid this physico-chemical phenomenon, it is possible to emit an electric arc that acts without contact to the tissue, without any electrical passage between the handpiece and the skin, and without the influence of the electrical resistance of the skin. The use of the electric arc as an instrument of intervention on the excess skin has been reported in the literature for many years. Our results show that this technique is also applicable to the upper eyelids in the presence of a dermatochalasis; it can be carried out with laser devices, emitting RF devices as well as devices emitting plasmaenergy. Through a micro-arc we obtained an effective surface action without warming the deep tissues and maintaining the integrity of the dermal papillae