Which Blepharoplasty surgery technique works best?

Based on the photo you provided, it appears that there's no need for an external incision under your lashes. In fact, you might not need any incisions at all. Of course, it's sort of a glamour shot and you're smiling somewhat so it's hard to say for sure. You appear to have hollowness under your eyes. This can... more

The key element here in your decision making process and why it is hard to determine from these photos is the following. Is your problem: Prominent fat deposits? Loose skin? Both of the above? If it is 1, then use the transconjunctival technique. If is is 2, then use the external approach. If it is 1 and a... more

This is an impossible question to answer without an examination. The "best" procedure depends on your clinical examination. If you have received different ideas from different surgeons you should either go see another plastic surgeon or even an oculoplastic surgeon (specializes in eyes) to get a... more

Hi Stephie, I prefer doing most blepharoplasties from the "inside" or through a tranconjunctival approach.  I agree with Dr. Berkowitz regarding the benefits of this approach.  If the over lying skin requires tightening, then I use Fraxel re:pair fractionated CO2 laser; sometimes I will use... more

Lower eyelid blepharoplasty can be performed from both the outside (transcutaneous) or inside (trans conjunctival) of the eyelid.  99.9% of the 3000 cases I have performed as an Ocular Plastic Surgeon in Sterling Hieghts, Michigan have been transconjuctival.  The advantage of my technique is: NO... more