Did my surgeon perform a transconjunctival or transcutanous procedure? I'm 43 and had a skin pinch bleph with canthoplasty.

A skin pinch and canthoplasty can be done with either a transconjunctival or transcutaneous surgery.  Many surgeons will use a transconj approach to work on the fat - either excision or transposition.  The pinch can then be done and a canthoplasty as well if there is significant eyelid laxity.   

Dear Denver888,It is difficult to tell without asking your surgeonThe incision used for the skin pinch can be the same used to remove the fat pockets in the eye socketThe canthopexy is also done through the same incisionAlternatively, the skin pinch and canthopexy can be done through one incision, and the fat pockets removed transconjunctivallyBest regards,Nima Shemirani

I will often use a transconj approach to avoid muscle violation and then often perform a canthopexy and skin pinch, but an open approach through a transcuatenous incision is fine too.