Aesthetic Plastic Surgery

, Volume 43, Issue 4, pp 948–955 | Cite as

The Outcomes Assessment of the Plasma Blade Technology in Upper Blepharoplasties: A Prospective Study on a Series of 25 Patients

  • Pierre Antoine Giroux
  • Barbara HersantEmail author
  • Mounia SidAhmed-Mezi
  • Chiara Pizza
  • Simone La Padula
  • Jean Paul Meningaud
Original Article Oculoplastic



The Dermo Ablation Surgery (DAS) Medical® (Technolux, Italy) device is a plasma blade which induces a plasma voltaic arc causing a retraction in the epidermis and superficial dermis.


The aim of our study is to prove the efficacy and safety of the DAS Medical® device in dermatochalasis size reduction.


Our prospective study included 25 adult patients presenting with upper eyelid dermatochalasis undergoing a two-session treatment protocol with the DAS Medical® device (with a month treatment-free interval). The primary end point was the reduction in the size of the dermatochalasis. The secondary end points were patient satisfaction, and a blinded assessment of the outcomes was carried out by 15 plastic surgery specialists on post-procedural pictures.


The mean reduction in the size of the dermatochalasis was estimated at 2.47 mm on a 6-month follow-up (13.5 mm at T0 vs. 11.03 mm at 6 months, p = 0.0002) and 1.97 mm on a 12-month follow-up ((13.5 mm at T0 vs. 11.53 mm at 12 months, p = 0.0055). Eighty per cent of the patients and 78% of the assessing clinicians were globally satisfied with the results on a 12-month follow-up. The mean visual analogue pain score reported during the treatment was 4.5/10; MEOPA® was used in 23% of cases. No irreversible post-procedural sequelae (complications) were observed.


Voltaic plasma arc treatment with DAS Medical® is an effective technique for non-invasive blepharoplasty on moderate dermatochalasis patients not suffering from palpebral lipoptosis and is very well tolerated. It can be usefully and successfully associated with surgery.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors


Arc plasma Medical blepharoplasty Skin retraction DAS Medical® 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This study was conducted according to the standards of good medical practice (ICH-E6) and according to the principles of the Declaration of Helsinki. The BRC (biological research and collections) Identification Number is 2018-A03111-54.

Informed Consent

All the patients taking part to the study were properly consented (signed a detailed consent form).


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  • Pierre Antoine Giroux
    • 1
  • Barbara Hersant
    • 1
    Email author
  • Mounia SidAhmed-Mezi
    • 1
  • Chiara Pizza
    • 1
  • Simone La Padula
    • 1
  • Jean Paul Meningaud
    • 1
  1. 1.Department of Plastic, Reconstructive, Aesthetic and Maxillofacial SurgeryHenri Mondor HospitalCréteilFrance

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