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• Other names: Ablative (that is, superficially destructive) procedures include chemical peel, laser resurfacing, and dermabrasion (not used on the eyelids), each available in a variety of forms. Non-ablative devices may employ mid-infrared laser, intense pulsed light, LED, or radiofrequency energy.
• Primary goal: Blunting of wrinkles by tightening within the dermal layer of the skin
• Secondary goals: Alteration of skin texture, generation of new collagen
• Special anatomy: The outermost layer of the skin is called the "epidermis", below which is located the "dermis".
• Anesthesia: From none to mild oral sedation to nerve block by injection
• Operative technique: Skin resurfacing is a non-surgical (although destructive) technique. It may performed as a stand-alone procedure and performed immediately after blepharoplasty.
• Chemical Peel: Following skin preparation and cleansing, the selected chemical is applied using Q-tips. Most typically, 35% TCA (trichloroacetic acid) solution is used on the eyelids.
• Laser resurfacing: The beam of the laser is . . .
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