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What is Transconjunctival Blepharoplasty?
asked 2 years ago by anon
Latest answer by Raj S. Ambay, MD
Question viewed 15,752 times
Tags: eye bags, transconjunctival
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.
59 answers to What is Transconjunctival Blepharoplasty?
+3
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...
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+4
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...
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Edmon Pierre Khoury, MD
Dubai Facial Plastic Surgeon
Dubai Facial Plastic Surgeon
+3
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...
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S. Sean Younai, MD
Beverly Hills Plastic Surgeon
Beverly Hills Plastic Surgeon
+3
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...
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+3
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.
+3
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.
+3
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...
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+3
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...
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Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
Jacksonville Facial Plastic Surgeon
+3
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
Jacksonville Plastic Surgeon
+3
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...
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+3
Transconjunctival blepharoplasty avoids a visible scar and does not change eyelid shape
Transconjunctival blepharoplasty is done through a tiny incision on the inside of the eyelid through the pink part of the lower eyelid.
Traditional blepharoplasty is done through a visible incision on the outside of the lower eyelid. The visible scar is not the only problem with the traditional blepharoplasty incision.
Because the incision goes through the muscle and supporting structures of the lower eyelid, the shape of the eyelid is often changed and the lower eyelid droops down into a...
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+3
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,...
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David C. Pearson, MD
Jacksonville Facial Plastic Surgeon
Jacksonville Facial Plastic Surgeon
+2
Approaches to eyelid lift
There are multiple approaches for a lower eyelid blepharoplasty- Tthe two most common approaches are the subcilliary incision and transconjunctival incision. Transconjunctival incision is basically made on the inner part of the lower eyelid after the eyelid is gently retracted off the globe. The excess fat is then removed. The subcillary incision is placed on the skin just below the eyelashes and the excess fat is removed as well as excess eyelid skin...
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Raj S. Ambay, MD
Tampa Plastic Surgeon
Tampa Plastic Surgeon
+2
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)...
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Michael A. Bogdan, MD
Dallas Plastic Surgeon
Dallas Plastic Surgeon
+2
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.
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+2
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...
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+2
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...
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+2
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
Boca Raton Plastic Surgeon
+2
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
Nashua Plastic Surgeon
+2
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!....
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Ariel N. Rad, MD, PhD
Baltimore Plastic Surgeon
Baltimore Plastic Surgeon
+1
Transconjuncital
The transconjunctival approach refers to a technique used in lower lid blepharoplasty, and is the best for removing fat from the lower eyelids. The incisions are done inside the lids so that there is no skin incision.
+1
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...
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+1
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
Vancouver Facial Plastic Surgeon
+1
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.
+1
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...
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Michael Vincent, MD
Rockville Plastic Surgeon
Rockville Plastic Surgeon
+1
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...
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Anand D. Patel, MD
Austin Facial Plastic Surgeon
Austin Facial Plastic Surgeon
+1
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.
+1
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...
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Mark Ginsburg, DO
Media Facial Plastic Surgeon
Media Facial Plastic Surgeon
+1
Tranconjunctival blepharoplasty
A transconjunctival blepharoplasty involves an incision inside the eyelid. It is typically most appropriate for a patient with little excess lower eyelid skin, and it can be used to address herniated fat. The location of the incision avoids an external scar, and there is a decreased chance of lower lid laxity. For certain patients, I will sometimes perform this procedure in conjunction with a lower eyelid resurfacing for a nice result.
Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon
Fort Lauderdale Facial Plastic Surgeon
+1
Transconjunctival blepharoplasty
A transconjunctival blepharoplasty is a technique that allows for prominent fat (bags) removal and not excess skin. The incision is made on inside surface of the lower eyelid, through the conjunctiva (transconjunctivally) to reach the fat.
If necessary the transconjunctival approach also allows for re-positioning of fat to fill in hollow areas of the lower eyelid. This technique can be combined with skin removal from the eyelid using an incision just below the lashes. It is the...
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Adam J. Cohen, MD
Skokie Oculoplastic Surgeon
Skokie Oculoplastic Surgeon
+1
When do you do a transconjuctival blepharoplasty
Transconjuctival blepharoplasty is limited to the lower eyelids and usually to younger patients who do not have excess fat. The lining of the lower eyelid is conjuctiva. Young people may have large fat deposits in the lower eyelids without excess skin. An incision in the sulcus of the lower eyelid will give access to these fat compartments ( there are three) and can be easily removed. Most patients over forty cannot take advantage of this technique...
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+1
Transconjunctival blepharoplasty uses "incision" inside the lid
Transconjunctival blepharoplasty offers advantages over traditional "outside" incision blepharoplasty such as :non-visible incision when no excess skin needs to be taken off, (when only the fatty tissue needs to be addressed), and less disruption of the supporting tissues of the lower lid, (decreasing possibility of lid being "too low"/ectropion after surgery). When some skin needs to be "trimmed" this may still be done with the transconjunctival...
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Debra Irizarry, MD
Crestone Plastic Surgeon
Crestone Plastic Surgeon
+1
What is Transconjunctival Blepharoplasty?
Transconjunctival blepharoplasty does not tighten the skin, it simply removes excess fat. The incision is made inside your lower eyelid, leaving no visible scar. Excess fat and muscle are removed and the incision is closed. This procedure is ideal for younger patients with good skin quality and minimal wrinkles. It can be combined with lower eyelid laser to tighten the skin, but again, if you have too much loose skin and wrinkles along your lower eyelids it may be better to get a...
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Kenneth Bermudez, MD
San Francisco Plastic Surgeon
San Francisco Plastic Surgeon
+1
Transconjunctival blepharoplasty should not be used for every situation.
Transconjunctival blepharoplasty is an excellent option for the appropriate patient, but it should not be used to treat every aged eyelid. It is an ideal procedure for a younger patient who does not require any excision of external skin.
Peter Schmid, DO
Longmont Facial Plastic Surgeon
Longmont Facial Plastic Surgeon
+1
Transconjunctival blepharoplasty is performed through the inside of the eyelid but does not deal with excess skin.
Transconjunctival blepharoplasty is performed primarily on younger patients who have familial herniation of fat through the orbital septum. The skin is youthful and will recoil with the removal of volume from the lids. Older patients who benefit from skin removal are usually not good candidates for this operation.
+1
Transconjuctival is a way to do eyelid surgery
Lower eyelid surgery can be done many ways. One ways is through an incision right below the lashes...this is call subciliary. Another way to do this is via an incision on the inside of the lower eyelid...this is called transconjuctival. No one technique is bvetter than the other...they are different. Transconjuctival is useful to only treat fat that is pooching out. If skin also needs to be addressed or if the muscle needs to be significantly tightened, I find...
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+1
Transconjunctival Lower Lid Blepharoplasty
Thr transconjunctival lower eyelid blepharoplasty is used to remove the excess FAT from the lower eyelid region. This is often used when FAT is removed or repositioned and when the skin does not need t be excised.
Commonly, this approach is used in combination with a skin resurfacing technique such as the SmartXIDE DOT laser, when improving fine lines, wrinkles, and discoloration is important to our patients.
A skin-muscle flap is a more traditional approach when BOTH skin and fat...
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+1
Different types of eyelid surgeries
There are multiple approaches to lower eyelid surgery. With the transconjunctival approach, an incision is made on the inside of the lower eyelid (pink portion) to access the fat. This works well for patients who have significant bulging of the fat in the lower lid without excessive skin laxity. This has been found to decrease the risk of the lower eyelid falling down after surgery.
The alternative is to approach the fat on the outside with an incision made...
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Etai Funk, MD
Houston Facial Plastic Surgeon
Houston Facial Plastic Surgeon
+1
Eyelid surgery, blepharoplasty, transconjunctival
There are different types of eyelid lifts. The transconjunctival approach was primarily developed to remove fat from the lower lids, without and external scar. This approach does not allow re-positioning or tightening of the lower lid muscle, or removal of excess skin.
As facial aging has been studied more thoroughly, we now know that most lower eyelid fat is normal fat. Over time it pushes forward because the muscle in the eyelid becomes lax. It is better to re-position the...
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Patti A. Flint, MD
Scottsdale Plastic Surgeon
Scottsdale Plastic Surgeon
+1
Transconjunctival Blepharoplasty
Transconjunctival Blepharoplasty is where an incision is made inside the lower lid, avoiding the need for an external scar. The incision can be made in either a preseptal or postseptal plane in order to access the lower lid fat. Advances have been made in blepharoplasty over the last several years with more modern approaches preserving tissues and resecting less tissue, creating a more natural an harmonious appearance.
Anil R. Shah, MD
Chicago Facial Plastic Surgeon
Chicago Facial Plastic Surgeon
+1
What is a transconjunctival blepharoplasty
This is a blepharoplasty for the lower eyelids to remove the fat or puffiness in the lower eyelids. It is done from an incision on the inside of the eyelid (where you cant see). Sometimes a small amount of skin is also excised on the outside corners. It is the most common approach to the fat in the lower eyelid.
Chris Thiagarajah, MD
Washington DC Oculoplastic Surgeon
Washington DC Oculoplastic Surgeon
+1
Incision inside the lid
A transconjunctival blepharoplasty is performed to remove or modify the fatty pockets causing bags in the lower lids. This approach is good for modifying the bags but does not address any issues with excess skin or dark circles.
Tal Raine MD
Talmage J. Raine, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Caution in transconjunctival Blepharoplasty
Transconjunctival Blepharoplasty is a procedure on lower eyelids, where the fat is typically removed via an incision inside the eyelid, leaving no skin scar. It is a good procedure in some one with good skin tone, with appropriate other anatomy. It is relatively easy to perform so a number of surgeon perform this procedure, even though in some patients it leaves a sub-par result.
In some patients this procedure can lead to a hollowed out, older appearance. The...
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+1
Transconjunctival Blepharoplsty
Transconjunctival blepharoplasty is the most common way to perform a lower lid blepharoplasty. Using this technique one can perform the entire procedure through the inside of the lower eyelid. This avoids any skin incisions. With this approach the herniated fat can be removed or repositioned. If there is associated excess skin on the lower eyelid a second incision may need to be made to address this problem.
David Freilich, MD
Englewood Oculoplastic Surgeon
Englewood Oculoplastic Surgeon
+1
Transconjunctival blepharoplasty
Transconjunctival blepharoplasty is a procedure to remove/adjust the bulging excess lower eyelid fat through an incision just inside the edge of the lower eyelid avoiding a scar on the skin. This is a great way to improve the lower eyelids if the only problem is fat. If the lower eyelid skin is loose, then the traditional approach will allow correction of both the fat and the skin. The traditional incision is placed just below the eyelashes and is virtually invisible when...
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Randy J. Buckspan, MD
Austin Plastic Surgeon
Austin Plastic Surgeon
+1
Transcunjunctival Eyelid Lift (Blepharoplasty)
The CONJUNCTIVA is the lining of the eyelids. A Transconjunctival Blepharoplasty is THE most popular method to treat bulging lower lid bags by approaching them through a rapidly healing scar INSIDE the lid without leaving an outside scar. This operation is very versatile and cane be combined with several other facial cosmetic procedures.
+1
Transconjunctival Blepharoplasty requires no external incision
Transconjunctival blepharoplasty is a technique to treat lower eyelid bags that often make people look tired and older. The incision is placed on the inside of the eyelid and through this fat pads that cause eyelid bags can be either removed if excessive or moved to areas of the eyelid where dark circles and hollows exist. This is a great technique in patients who do not have extra wrinkly skin around the eyes. For those the incision is under the eyelashes so the extra skin can be trimmed...
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Andrew Jacono, MD
New York Facial Plastic Surgeon
New York Facial Plastic Surgeon
+1
Transconjuctival Blepharoplasty information
Transconjunctival blepharoplasty is a procedure which targets the fat deposits, sometimes referred to as "bags", of the lower eyelid. The incision is made on the inside in order to access orbital fat. The latest techniques give you a much more natural look by replacing or repositioning the fat. The incision is not visible and is an effective way to remove fatty tissue from the lower eyelid.
There are many different techniques for operating on the lower eyelids, and it is important...
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Scott W. Mosser, MD
San Francisco Plastic Surgeon
San Francisco Plastic Surgeon
+1
Transconjunctival blepharoplasty works through the eyelid
Hello,
Transconjunctival blepharoplasty is eyelid surgery done through the eyelid itself. There is no incision or scar outside on the skin. You can only take fat out this way so skin excesses are not corrected but this can work for mild degrees of improvement.
+1
Transconjunctival bleph
Transconjunctival blepharoplasty is a technique in which there are no external incisions on the skin. Rather, access to the fat pockets and other structures is obtained through the inside lining of the eyelid, most typically in the lower lid. This has its pros and cons, one of the cons being a higher risk of damage to the muscles that move your eyeball.
+1
An approach
Transconjunctival Blepharoplasty is an eyelid procedure that uses an incision on the inside of the eyelid, through the conjunctiva, or lining of the eyelid. It is an approach that allows for removal of pseudo herniated fat from the area which surrounds the lower eyelid. It is a procedure designed for a specific problem: orbital fat excess and/or bulging fat. The benefit of this approach is that it avoids an external incision and an incision through the muscle (orbicularis oculi). The...
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+1
Transconjunctival lower eyelid surgery
Transconjuctival blepharoplasty refers to treating the lower eyelids through an incision hidden on the inside of the lower lid (not on the outer skin). This approach leaves no external scars and is good at addressing excess fat of the lower lids. However if you have excess skin of your lower lids, you will need a more traditional incision which is made just under the lower eyelash line to remove the lower eyelid skin. This must be done carefully so as not to injure the orbicularis oculi...
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+1
Blepharoplasty
Dear Ms. King
Transconjunctival eyelid surgery is one technique for shaping the lower eyelid. it involves making an incision on the inside of the lower eyelid - and altering the shape of the fat of the lower eyelid. There may be other eyelid adjustments that are made at the same time.
As you age the lower eyelid muscle and tendon tend to loosen and the tranconjunctival approach only is ususally not enough to rejuvenate the eyelid shape.
With Warm Regards,
Trevor M Born MD
Trevor M. Born, MD
Toronto Plastic Surgeon
Toronto Plastic Surgeon
+1
Transconjunctival lower eyelid surgery the preferred lower eyelid surgery
Dear Lisa
The "best" procedure for you very much depends on what your issues are. Many patients who come to see me for eyelid surgery do great just with lower eyelid volume with under eye Restylane.
Surgery can be appropriate and the issue is then which of the eyelid surgeries are right for your particular situation. Transconjunctival lower eyelid surgery has become the preferred approach for addressing herniated orbital fat. Often this is modified to preserve the lower eyelid...
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+1
Transconjunctival Bleharoplasty in some cases
Transconjunctival blepharoplasty is a technique that allows the surgeon to access your eye lid fat compartments and remove the fat or to redrap it over the bony part of the fat. This is an excellent technique with no external scarring, however, it would not work alone if you have excess skin or sagging eye lids. A " pinch " skin excision could be done for minor cases, otherwise a formal blepharoplasty will need to be done.
Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+1
It is done through the inside
If you do not have excess skin and only have fat - then the TC bleph is a good way of avoiding a scar on the outside. The lid is flipped down and the fat is removed from the inside. It works well.
+1
Transconjunctival blepharoplasty purpose
Procedures should service the goal. Some can be substituted for another but others perform different functions. If you need to have skin removed, transconjunctival blepharoplasty is not a substitute for skin inicision blepharoplasty. It's main benefit is to remove periorbital fat from the lower lid without a visible incision on the skin. If fat removal is the sole goal, then it accomplishes this with less complications and quicker recovery and no skin incision. A surgeon can also utilize...
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+1
The tansconjunctival or "no visible incision" eyelid tuck (blepharoplasty)
Transconjunctival refers to an approach to the lower eyelid fat collections. It goes on the backside (the conjunctval surface) of the eyelid rather than the skin surface of the eyelid. Since the incision is not visible it is often called the "no visible incision" eyelid tuck.
It is traditionally used in people, usually younger individuals, who do not need correction of excess or lax skin but do need correction of prominent lower eyelid fat.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Transconjuctival blepharoplasty for eyelid lift surgery
Ms. King,
Transconjuctival blepharoplasty is one method to perform lower eyelid plastic surgery. A small incision is made on the inside or pink surface of the lower eyelid. There are no visible external incisions. Excess fat which contributes to baggy eyelids can be removed or altered with this cosmetic approach. Excess skin, however, is not removed from the lower eyelid.
Transconjuctival blepharoplasty may help many patients. Generally, patients who are younger or who have already had...
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