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Lower Eyelid Blepharoplasty Transcutaneous Approach

The transcutaneous blepharoplasty approach addresses age-related dark circles and bags of the under-eye area through an incision made directly beneath the eyelashes. During surgery, an incision is made that allows the muscle of the lower eyelid to be tightened, while also creating space to trim and reposition excess skin and fat.

Lower Eyelid Blepharoplasty Transcutaneous Approach

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The Skinny


Average Recovery

10 days

Permanence

Temporary

Application

Surgical Procedure

Surgical

Yes

Cost

$2000 - $4000

The Specifics


What is a lower eyelid blepharoplasty transcutaneous approach?

A lower eyelid blepharoplasty transcutaneous approach is a lower eyelid surgery designed to reduce the appearance of age related eyelid skin changes and restore a youthful, energetic aesthetic. A lower eyelid blepharoplasty transcutaneous approach produces immediately noticeable and permanent enhancements to the lower eyelid.

The Anatomy of the Eye

Eye Anatomy Close-Up Photo

Compared to a lower eyelid blepharoplasty transconjunctival approach, the Transcutaneous Approach allows for more lower lid soft tissue alterations and can address eyelid skin laxity. The lower eyelid blepharoplasty transcutaneous approach is, however, more invasive and has a higher risk of adverse side effects.

What cosmetic concerns does a lower eyelid blepharoplasty transcutaneous approach procedure treat?

  1. Sagging & Hooded Eyelids: In a lower eyelid blepharoplasty transcutaneous approach, excess fat is removed and eye skin and muscle repositioned to improve lower eyelid tone and tightness.
  2. Aging & Tired Eyes: Removal of excess fat in a lower eyelid blepharoplasty transcutaneous approach rejuvenates the under eye area to provide a more youthful, healthy appearance.

Who is the ideal candidate for a lower eyelid blepharoplasty transcutaneous approach procedure?

The ideal candidate for lower eyelid blepharoplasty transcutaneous approach is an older candidate with a large amount of fat protrusion, significant excess skin, and prominent orbicularis muscle (eyelid muscle) abnormalities. Lower eyelid blepharoplasty transcutaneous approach is not recommended for patients with certain chronic medical conditions (like thyroid disease and chronic dry eye) or those with bulging eyes.

What is the average recovery associated with a lower eyelid blepharoplasty transcutaneous approach procedure?

Most patients experience bruising, numbness, swelling, and excessive tearing following a lower eyelid blepharoplasty transcutaneous approach. Bruising generally resolves within one week to ten days. Swelling can be lessened with cold compresses and sleeping with the head elevated. In some candidates, swelling may persist for weeks to months.

Strenuous physical activity, contact lenses, and sun exposure should be limited for two weeks. Eye straining activities like reading, watching TV, and using the computer should be kept to a minimum.

What are the potential side effects of a lower eyelid blepharoplasty transcutaneous approach procedure?

The potential side effects of a lower eyelid blepharoplasty transcutaneous approach include increased scleral (whites of the eye) visibility, ectropion (outward turning of the lower eyelid), difficulty in closing the upper eyelid and lower eyelid, blurred vision, scarring, bleeding, and changes in sensation.

What can someone expect from the results of a lower eyelid blepharoplasty transcutaneous approach procedure?

The results of a lower eyelid blepharoplasty transcutaneous approach are permanent immediately noticeable enhancements to the lower eyelid and under eye following the procedure. The appearance of the lower eyelids and under eye will finalize over the course of three to four months. The lower eyelids will continue to be subject to the effects of aging over time.

What is the average cost of a lower eyelid blepharoplasty transcutaneous approach procedure?


This plastic surgery procedure can cost anywhere from $2,000 to $4,000. The actual cost of a lower eyelid blepharoplasty transcutaneous approach is dependent upon location, plastic surgeon, and length and involvement of the plastic surgery. Learn more in our complete guide to blepharoplasty cost.

Pros

Removes excess skinRemoves excess fatPermanentMore youthful appearance

Cons

Higher risk of increased scleral showHigher risk of ectropion

Invasiveness Score

mildmoderatesevere
1
2
3
4
5
6
7
8
9
10

Invasiveness is graded based on factors such as anesthesia practices, incisions, and recovery notes common to this procedure.

What to Expect


The lower eyelid blepharoplasty via a transcutaneous approach addresses dark circles and bags through an incision made directly beneath the eyelashes. Here is a quick guide for what to expect before, during, and after a lower eyelid blepharoplasty with a transcutaneous approach.

The Takeaway


A lower eyelid blepharoplasty transcutaneous approach is a lower eyelid surgery designed for under eye and facial rejuvenation through alterations to the skin, fat, and muscle under the lower eyelids. Dark circles, hollowing, and puffy under eye bags can be minimized to restore and rejuvenate overall appearance. The results of the lower blepharoplasty are immediate and permanent, but will be subject to aging overtime.

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Source List

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AEDIT uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Dailey RA, Wobig JL. Eyelid Anatomy PubMed; 1982-12-01
  2. Harry S Hwang The effect of "single" vs "double" eyelids on the perceived attractiveness of Chinese women PubMed.gov; 2014-03-03
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