Board-certified cosmetic surgeon and founder of North Shore Center for Facial Plastic & Cosmetic Surgery in Chicago, Dr. Anthony J. Geroulis, has been performing upper and lower eyelid surgeries for over thirty years. Frequently, new innovations and techniques can improve the efficacy of a surgical procedure, such as an upper blepharoplasty, also referred to as an upper eyelift or upper eyelid surgery. However, there are certain situations when the newer technology does the opposite. Therefore, it is important that the pros and cons are evaluated.
For example, the use of electrical cautery or a laser during upper and lower eyelid surgery. The laser is a newer technology, which is said to minimize bleeding throughout the procedure and possibly lead to a shorter recovery time. Dr. Geroulis and many of his colleagues in the field do not agree with the use of a laser due to increased risks: �With regard to the lower eyelid, the concern has been that even with the protective shield over the eyeball, there is still laser spray which can cause serious vision complications. For this reason I, and many other surgeons, do not use a laser in the eye area for either the upper or lower blepharoplasty� explains Dr. Geroulis.
Since electrical cautery helps to stop bleeding (to minimize post-surgical bruising), Dr. Geroulis uses this technology to perform his lower eyelid surgery using the �transconjunctival approach,� which removes fat deposits without a visible scar.