Evaluation and comparison of side effects and satisfaction of patient and physician in Micropunch Blepharopeeling versus blepharoplasty of the Upper Eyelids for Periorbital Rejuvenation in patients who referred to Alzahra hospital in 2016

Objectives:Evaluation and comparison of side effects and satisfaction of patient and physician in Micropunch Blepharopeeling versus blepharoplasty of the Upper Eyelids for Periorbital Rejuvenation in patients who referred to Alzahra hospital in 2016.The present study is a kind of controlled clinical pilot study in which 20 patients refer to the skin clinics affiliated to Esfahan University of Medical Science for periorbital rejuvenation . They are easily and nonrandomly included in the study and are randomly allocated to treatment groups of micropunch blephropeeling and blepharoplasty.After cleaning the face and injecting the local anesthetic in the upper eyelid region in the blepharopeeling group, peeling is performed in all the periocular region using phenol 89% and a cotton applicator until a white layer is formed. With a pair of iris scissors then, depending on the patient's skin thickness , 5-20 scissors cut , each 3-5 mm wide, are performed in a network model in the upper eyelid.the cuts are not sutured . they are however spontaneously epithelialized instead. After injecting the local anesthetic in the blepharoplasty group, the cuts are suprtficially performed with surgery blade NO.15 through the epiderm of the skin which have previously been marked are taken off. Hemostasis is performed with a cauter and the fats are taken out and cauterized . Both groups of the patients are visited for complications and the rate of the patient's satisfaction is rated 2 months after operation based on a 5 score scale . the level of the physician's satisfaction is registered pre-operatively and 2 months after operation using relevant photographs by 2 separate physicians on the low, medium, good and high scale.

Isfahan University of Medical Sciences