Purpose: To compare hemorrhage and wound healing after radiosurgery and conventional surgery for dermatochalasis.
Methods: We performed a prospective study of 13 patients with dermatochalasis who underwent radiosurgery in one upper eyelid and conventional surgery with scalpel and scissors in the contralateral eyelid. Hemorrhage and wounds were evaluated after surgery the same day, 1 week later, and 3 months after surgery by a masked observer. Hemorrhage was evaluated on a scale from 0 (no hemorrhage) to 4; wounds were evaluated by use of Hollander score, from 0 (poorest outcome) to 6 (best outcome).
Results: We found a tendency toward better wound healing and a higher Hollander score at 1 week after radiosurgery (p=0.014) and no significant differences in wound healing and hemorrhage between radiosurgery and the conventional technique.
Conclusions: Both radiosurgery and conventional surgery for dermatochalasis showed good results at the 3-month follow-up.