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What is Transconjunctival Blepharoplasty?

A friend mentioned getting Transconjunctival blepharoplasty. What does this mean? Is it better than traditional eyelift surgery? I'm 52 and would like to help my under eye bags.

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eye bags transconjunctival

Transconjunctival blepharoplasty

We are as individualized as our finger prints. That’s why a treatment for your lower eyelid surgery needs to start with you in mind. By that I mean there are multiple techniques available to operate on the lower eyelids and what works for your friend will not necessary work for you. Unfortunately some surgeons know of only few techniques and they use them on everyone they see. That’s why when choosing an eyelid surgeon, make sure they have experience in this field and at least... more

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Kami K. Parsa, MD

Los Angeles Oculoplastic Surgeon

Transconjunctival blepharoplasty

The transconjunctival blepharoplasty is my favorite approach to lower eyelid surgery; I use it more than 90% of the time. It allows for easy and safe access to the fat that can be either removed or repositioned over the cheek bone. It reduces the risk of the eyelid pulling down as it heals (ectropion). Another benefit is the absence of an external incision, but this may not be the case for everyone. After the fat is removed, the skin that was being tensed out by the fat can either retract... more

Edmon Pierre Khoury, MD

Dubai Facial Plastic Surgeon

Lower Eyelid surgery Techniques- Transconjunctival Blepharoplasty

There are two approaches for lower eyelid Blepharoplasty- subcilliary incision and transconjunctival incision. Transconjunctival incision is basically made on the inner part of the lower eyelid. through this incision only excess fat can be removed. To the contrary the subcillary incision is placed on the outside at the lower cilliary margin. this incision enable the surgeon to excise excess orbital fat as well as to remove loose lower eyelid skin and tighten muscle. Transconjunctal incision... more

S. Sean Younai, MD

Beverly Hills Plastic Surgeon

ASPS

Transconjunctival blepharoplasty is my preferred approach to lower eyelid surgery

Transconjunctival blepharoplasty is my preferred approach to lower eyelid surgery in the majority of my patients. The “conjunctiva” refers to the inner lining of the lower eyelid, continuous with the clear outer lining of the eyeball. In this approach, an incision is made on the inside of the eyelid, carefully protecting the globe of the eye (eyeball). This provides direct access to the peri-orbital fat that is contributing the puffiness around the lower eyelids. This... more

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Michael R. Macdonald, MD

Bay Area Facial Plastic Surgeon

Transconjunctival Blepharoplasty

Transconjunctival Blepharoplasty is a technique used for removing the fat (bags) of the lower eyelids using an incision on the inside of the lower eyelids. This technique avoids a visible scar, does not remove skin, and can prevent certain scarring complications of traditional (subciliary = below the lash line) incisions.

Paul C. Zwiebel, MD

Denver Plastic Surgeon

ASAPS ASPS

What is Transconjunctival Blepharoplasty?

Transconjunctival blepharoplasty is a procedure that approaches lower eyelid blepharoplasty through an incision on the inside of the eyelid thus avoiding a scar. It is an excellent procedure to address the lower eyelid bags. If you have extra skin as well, then either some type of laser tightening, chemical peel, or surgical excision may be necessary. If you only care about improving your bags, it is probably the deal procedure.

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Sam Goldberger, MD

Beverly Hills Oculoplastic Surgeon

No Visible incisions with Lower Eyelid Surgery Using Transconjuctival Technique

Transconjuctival Blepharoplasty allows removal of the excess fat of the lower eyelid. This is done by making the incision inside the eyelid which leave no visible external scars. This technique can be combined with other techniques depending on the amount of skin excess, wrinkles and line of the lower eyelids and laxity of the lower eyelid. Generally speaking it is a very good idea not to remove the fat which can lead to hollowing of the orbit and dark circle around the eyes. A better... more

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Ali Sajjadian, MD

Orange County Plastic Surgeon

ASPS

Transconjunctival blepharoplasty incisionless surgery for lower eyelids

An excellent approach to removing excess lower eyelid fat which can cause puffiness is via the transconjunctival approach. In this method, lower eyelid fat that is in excess is removed between the lower eyelid on the inside and the eye itself. By removing fat in this way, a scar can be avoided. In addition, this approach offers an excellent way to improve the hollowness in the nasojugal groove or tear trough where the fat can be repositioned to that area again without a scar. Finally, if... more

Scott Trimas, MD

Jacksonville Facial Plastic Surgeon

Transconjunctival lower eyelid blepharoplasty

A transconjunctival blepharoplasty involves an incision on the inside of your eyelid and allows the surgeon to remove fat or reposition it. More often than not, with increasing age, the transconjunctival approach needs to add an external incision to remove excess skin or tighten the muscle.

Ankit Desai, MD

Jacksonville Plastic Surgeon

ASPS

Transconjunctival blepharoplasty, technique to remove fat from lower lids

Transconjunctival blepharoplasty has been around for over twenty years. It is a professional technique to simply remove fat, underneath the lower lids whereby an incision is made at the subconjunctival area underneath the inside of the lower lid, and the fat is removed out of the three compartments in the lower lid. The fat compartments in the lower lid are what create puffiness and bags, causing a tired look on the lower eyelids. This needs to be done under general anesthesia because of the... more

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William Portuese, MD

Seattle Facial Plastic Surgeon

Fewer complications with transconjunctival.

The more modern transconjunctival approach was not designed to avoid a visible incision, as some people imply. It was done to reduce the chance of a specific complication with the external or subciliary approach. The older approach required cutting through the muscle and orbital septum of the lower lid and it carried with it a higher risk of lower eyelid rounding or ectropion (where the eyelid pulls down and away from the eyeball). These are bad complications. The transconjunctival approach,... more

David C. Pearson, MD

Jacksonville Facial Plastic Surgeon

Transconjunctival Blepharoplasty - An approach to the fat

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)... more

Michael A. Bogdan, MD

Dallas Plastic Surgeon

ASAPS ASPS

What is a transconjunctival blepharoplasty

A transconjunctival Blepharoplasty, or TCB, is where an incision is made inside of the lower eyelid and the fat pockets are either removed or repositioned to make the puffy appearance look better. There is no skin incision and no skin removed, so typically it is done on a small percentage of patients, those that have no skin issues. If one needs skin removed, a traditional lower Blepharoplasty can be done but some surgeons will combine a TCB with a skin pinch skin removal of the lower lid. more

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Julio Garcia, MD

Las Vegas Plastic Surgeon

ASAPS ASPS

Transconjuctival blepharoplasty

For blepharoplasty patients with true lower lid skin excess or redundancy, some skin must be removed to restore a youthful appearance. This is performed through a subciliary incision, which is an incision placed immediately below the lower lid lashes. This incision is hidden by the lower lid eyelashes and is almost always imperceptible once it has healed. As with upper lid, skin excision of the lower lid should be very conservative, amounting to only that amount of skin that is necessary... more

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Michael Law, MD

Raleigh-Durham Plastic Surgeon

ASAPS ASPS

Finesse in Transconjunctival Blepharoplasty

A transconjunctival blepharoplasty is useful only in patients who have no redundant skin, but who have some slight fullness in the lower eyelid. This is uncommon in patients over the age of 40. However, it works well in patients who do have slight bulging with no redundant skin. I use it in conjunction with my 5-step blepharoplasty in which I preserve the orbicularis oculi muscle, which is very important, to minimize complications. In conclusion, a transconjunctival blepharoplasty is a very... more

Rod J. Rohrich, MD

Dallas Plastic Surgeon

ASAPS ASPS

T-C or not T-C, that is the question.

Transconj implies the incision will be made on the inside of the lower lid and gives access to fat and some other maneuvers, this is commonly paired with laser to manage excess skin. to be honest this was the rage 10 years ago and has recently been resurrected as a "safe alternative " to regular blepharoplasty. in truth, the anatomy drives the proper procedure, not the desire of the pt or comfort of the surgeon. so see a good surgeon and decide, together.

Rafael C. Cabrera, MD

Boca Raton Plastic Surgeon

ASAPS ASPS

Transconjuctival blepharoplasty avoids muscle injury

The eyelid muscles are delicate. The less that is done to them the better. If the surgeon can remove the fat from the inside of the lid (without touching the muscle) and the skin from the outside of the lid (without touching the muscle), trauma is less and recovery is faster. It is an excellent operation that I do now almost exclusively.

Mark B. Constantian, MD

Nashua Plastic Surgeon

ASAPS ASPS

How to get rid of under-eye bags: the transconjunctival approach

To understand what "transconjunctival" means, let's ask "why do we get under-eye bags in the first place?" Well, baggy eyelid people have mom or dad to blame. It's caused by fatty deposits behind the eyelids that bulge forward and even young people have under-eye bags because mom or dad probably had them, too. As we celebrate more birthdays, we can develop even more eyelid bulging and wrinkles that even Botox can't smooth - look at Bill Clinton's eyes before and after skillful de-bagging!.... more

Ariel N. Rad, MD, PhD

Baltimore Plastic Surgeon

ASPS

Tranconjunctival blepharoplasty vs. Subcilliary

Surgeons have two surgical approaches to choose from when addressing lower eyelids: 1. Transconjunctival (also called "internal blepharoplasty" or "scarless blepharoplasty") The internal approach to lower eyelid blepharoplasty involves a fine incision made on the inner surface of the lower eyelid. Because the scars are inside the lower eyelid where they cannot be seen, this procedure is often called scarless blepharoplasty. 2. Subcilliary (also... more

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Thomas Buonassisi, MD

Vancouver Facial Plastic Surgeon

What is Transconjunctival Blepharoplasty

Transconjunctival (TC) blepharoplasty refers to a lower blepharoplasty in which the incisions are made on the inside of the eyelid. The advantages to this approach are that there are no external scars and the risk of changing the contour of the lower lid margin is very low. The disadvantage is that there is no ability to treat excess skin. If the problem is excess fat in the lower lid in the absence of loose skin, this is an excellent approach.

Andrew B. Denton, MD

Vancouver Facial Plastic Surgeon

Transconjuctival blepharoplasty

The transconjuctival approach is the way I proceed with the majority of my patients who need lower lid blepharoplasty. The incision is made inside the eyelid and leaves no visible scar. It is an ideal procedure for removing fat from the lower lid while removing no skin. Some patients may need skin removal addressed due to laxity and excess at which times other common blepharoplasty techniques are used.

Michael Elam, MD

Orange County Facial Plastic Surgeon

Transconjunctival Lower Blepharoplasty

The transconjunctival approach for lower eyelid surgery involves making an incision on the inside of the eyelid for removal of the fat pads that typically cause the puffiness of the lids. It is a great technique for some patients because there is no external scar. However, it is just one option for the surgery, and it may not be the best for every patient. I would encourage your discussing this with your plastic surgeon. However, it is usually better to focus on... more

Michael Vincent, MD

Rockville Plastic Surgeon

ASAPS ASPS

What is Transconjunctival Blepharoplasty?

This is a type of eyelid surgery in which an incision is made on the inner surface of the eyelid rather than the skin. The obvious advantage is no external scar. However, for someone with heavy bags and less skin elasticity (we lose elasticity as we age) removing the fat bags may leave behind droopy skin. In these individuals, an external incision is beneficial because it allows removal of excess, lax skin and removal of thick eyelid muscle that may be contributing to the problem. Hope... more

Anand D. Patel, MD

Austin Facial Plastic Surgeon

Transconjunctival blepharoplasty

There are 2 ways to approach the fat pads in the lower eyelids. 1) Through the skin - with an incision just below the eyelashes 2) through the conjunctival surface on the backside of the eyelid. Which one is best depends on the patient's situation. If someone has great looking eyelid skin, but just a little isolated fat pad which bulges, then a transconjunctival approach can work nicely, without a visible external scar.

Thomas Fiala, MD

Altamonte Springs Plastic Surgeon

ASAPS ASPS

Transconjunctival blepharoplasty

Dear blepharoplasty patient, A transconjunctival blepharoplasty refers to the placement of the incision for the surgery on the inside of the eyelid. Advantages of this approach include lower incidence of post-op lid retraction, no external visible scar, and decreased OR time. It is a great option for removal of the bags under your eyes, and can be combined with other procedures to improve the quality of the overlying skin, such as chemical peels and laser, as well as... more