Eyelid Surgery: Q&A
Ask a QuestionWhat Are the Risks of Transconjunctival Lower Eyelid Surgery with Skin Pinch?
I saw a plastic surgeon today (will see others as well) and he recommended a fat melting blepharoplasty or transconjunctival. What are the risks of transconjuntival lower eyelid surgery with perhaps a skin pinch should the protruding skin not retract back nicely and either sag or wrinkle?
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14 Doctor Answers |
Asked by
RickyC
in Mcallen, TX
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Lower Eyelid Surgery
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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Fat melting is not really approved nor do I advise
From what I understand, fat melting is not really approved nor do I advise. Transconjunctival is removal of the fat. You have to make sure that you actually need to have lower lid fat removed and make sure that not too much of it is removed. You don’t want to end up having a hollowed out look. The skin pinch is sometimes done to remove excess skin; but again, you have to make sure it’s really necessary.
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Transconjunctival bleph risks
The transconjunctival blepharoplasty is an excellent proceedure with minimal risks. The only major risk as with any blepharoplasty is bleeding and possible hematoma. A less serious risk is round eye or scleral show problems related to weakness in the lower lid itself after surgery.If you do a pinch technique and there is still some excess skin present you can either do another pinch or light CO 2 Fraxel laser to smoothe the area out.
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Risks of Transconjunctival Lower Eyelid Surgery (Blepharoplasty) with skin pinch.
The Transconjunctival Lower Blepharoplasty IMHO, is the gold standard for removing excess fat bags from the lower eyelids and was the topic of a research paper I wrote in 1991 on the subject of lower Blepharoplasty. If your surgeon is experienced in this technique, it offers distinct advantages over the older transcutaneous method including less incidence of lower eyelid malposition. A conservative (must be conservative IMHO) skin pinch can be done but so can a lower eyelid...
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Blepharoplasty & risks
All surgery carries some risk; eyelid surgery included. Whether the incision is made in the skin below the lid/lashes or in the conjunctival trough behind the lid margin, there are certain risks that may include unwanted bleeding, scarring, and even problems associated with loss of vision and/or cornea injuries. But when patients are carefully selected and prepared for surgery (ie, no aspirin containing products for example, and no physical activity post operatively for awhile) this...
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Transconjunctiva lower eyelid blepharoplasty
The risks from this approach are similar to the more traditional trans cutaneous approach. These include: bleeding, infection, lower eyelid malposition, and eye muscle injury. Many surgeons feel that this approach is slightly less risky for lower eyelid malposition in that the approach does not interrupt some of the suspensory structures that are involved in the trans cutaneous approach. I do probably 80% of my lower eyelid surgeries using the transconjunctival...
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What Are the Risks of Transconjunctival Lower Eyelid Surgery with Skin Pinch?
The risks of this operation are the same as with any blepharoplasty: the risks of the anesthetic, bleeding, infection, dry or teary eyes, injury to the muscles that move your eyes and injury to the eye itself, up to and including blindness. There are also the aesthetic complications: too much, too little, unevenness, etc.
I have done this operation for at least a half-dozen years and have found it to work well. It is nearly impossible to produce the most common complication of all:...
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Transconjunctival blepharoplasty.
There should be almost no risk if you go to an experienced plastic surgeon who has done these for many years.
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Transconjunctival
Transconjunctival blepheroplasty with or with out a skin pinch is a good and accepted technique. Although it was the rage a few years ago less are done today. All of the usual complications can occur. These are primarily over or under skin removal or too much fat removal.
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Transconjunctival lower eyelid rejuvenation
Transconjunctival lower eyelid blepharoplasty, or eyelid rejuvenation surgery, removes the lower eyelid fat that is responsible for creating the bulges or puffiness of the lower eyelid regions. It is performed through either several small or one continous incision underneath your lower eyelid, thus avoiding any external incisions. It preserves a natural anatomic structure called the septum frmo being violated, thus potentially reducing any postoperative complications such as excessive...
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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