Dallas Eyelid Surgery doctors

A Blepharoplasty is any operation around the eyeball that improves the external cosmetic appearance.  Often we divide the operation into upper lid surgery (Upper Blepharoplasty), and lower lid surgery (Lower Blepharoplasty).  When you look at lower eyelid aging, you can divide it into several different components:  Skin, Muscle, Fat, and attachments to deeper structures.  Transconjunctival just refers to an approach [a place to make a cut.  Literally: Trans (thru) the conjunctiva (the mucosa inside the eyelid).]  It allows the surgeon to remove / reposition the fat, and release some of the attachments.  If a patient only has fat excess making their lower lids look old, then a transconj belph will work very nicely and has low risk.  If you have skin excess, then other approaches are needed as well (such as a peel or even skin excision).  Your surgeon may still use the transconjunctival approach to address the fat, but you might require a scar on the outside of the lid to remove excess skin.  Don't go shopping for a particular named procedure - rather visit with a surgeon who specializes in eyelid surgery, discuss what you would like to improve upon, and listen to their plan on how to achieve your goal.

Dr.B

Secondary eyelid surgery can be very complicated. Therefore, one needs to wait at least 6-12 months to allow for the previous scarring to subside. You will need to see someone who has expertise in oculo plastic surgery and secondary eyelid surgery as this can be much like rhinoplasty in that you only have so many chances to get it done correctly.

The placement of a high crease in blepharoplasty is difficult to correct unless you have redundant skin. This is why it is important to seek out a Board Certified Plastic Surgeon or a plastic surgeon with expertise in blepharoplasty. Also, one should place the crease lower than higher because it is easier to camouflage and also gives the illusion of a fuller lid.