Evaluation of eyelid dermal thickening following EndoliftX® treatment with a 1470 nm diode laser: assessment using a high-frequency linear ultrasound probe

This study examines the impact of EndoliftX® 1470 nm diode laser treatment (Eufoton®, Trieste, Italy), which utilizes specific 200-300 μm conically shaped micro-optical fibres with radial emission (ELX 200-300 Radial fibres), on eyelid dermal thickness. Ten patients underwent three laser sessions with high-frequency linear ultrasound imaging using the Esaote SL3116 probe to measure dermal changes at baseline, one month, and three months post-treatment. EndoliftX®, a minimally invasive laser procedure, delivers energy subdermally, promoting collagen remodeling and skin firming while preserving the epidermal integrity. The results indicated a consistent and significant increase in dermal thickness, demonstrating the potential of EndoliftX® as a valuable, non-surgical option for periorbital rejuvenation in oculoplastic practice. These findings underscore the importance of precise, non-invasive imaging techniques, such as the Esaote SL3116 probe, in objectively quantifying treatment outcomes.