Lower Eyelid Blepharoplasty Transconjunctival Approach

A lower eyelid blepharoplasty with a transconjunctival approach addresses the appearance of bags and dark circles under the lower eyelids. This technique does not allow for skin excision, but it noticeably addresses concerns brought on by aging. It mostly focuses on re-sectioning the fat where the cheeks have begun to sag, causing eyelids to stretch and lengthen vertically.

The Skinny

Lower Eyelid Blepharoplasty Transconjunctival Approach
avg. recovery
10 days
permanence
Is permanent
Type
Surgical Procedure
surgical
Yes
cost
$2000 - $7000

About the Procedure

Last Updated: 06.03.2020

This procedure addresses dark circles and bags under the eyes by re-sectioning or repositioning the orbital fat that has been affected by aging. During the natural aging process, the fat pads underneath the eyes can droop and sage, causing unsightly bags. These bags under the eyes can cause individuals to appear older and more tired. If only an adjustment to the fat pads is needed, a transconjunctival approach is ideal. However, if there is sagging skin present a more invasive transcutaneous approach may be needed to remove the excess skin. A lower eyelid blepharoplasty that is performed via a transconjunctival approach is done by creating incisions on the inside of the lower eyelid. These incisions allow for fat excision without causing damage to the eye muscle. Fat is re-sectioned within these incisions and can be redraped to a higher, more aesthetically pleasing position. No sutures are needed for this method. Tear trough deformities are addressed prior to completing the surgery by either redraping or repositioning the orbital fat to account for any present eye hollowing.

The goal of a lower eyelid blepharoplasty is to remove fat in order to reduce lower eyelid wrinkles and fat bulges.

Concerns

Lower Eyelid Blepharoplasty Transconjunctival Approach addresses concerns such as:

Recovery Notes

After a lower lid blepharoplasty patients will likely experience swelling and excessive tearing. It is common for the eyelids to feel numb for several days. Bruising will usually dissipate after 1 week. To reduce swelling apply cool compresses, sleep with head in an elevated position, and avoid strenuous activity for 2-3 weeks. Activities that strain the eyes such as reading, watching tv, using a computer, and wearing contacts should be avoided. Limit sun exposure and always wear eye protection.

Ideal Candidate

The ideal candidate for a lower eyelid blepharoplasty with a transconjunctival approach is a younger candidate with smooth skin, and only slight to moderate fat and muscle protrusion.

Not Recommended For

A lower eyelid blepharoplasty with a transconjunctival approach is not recommended for patients that also need to address skin laxity issues.

Side Effects

Side effects from a lower eyelid blepharoplasty with a transconjunctival approach may include changes in the shape of the eye aperture, increased scleral show, changes in the position of the lower lid, blurred vision, swelling and bruising, scarring, bleeding, and changes in sensation.

Pros

  • Lower risk of side effects

Cons

  • Inability to remove excess skin
  • Possible asymmetry

From the AEDITION

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