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What Are the Risks of Transconjunctival Lower Eyelid Surgery with Skin Pinch?

asked 10 months ago by RickyC in Mcallen, TX
Latest answer by Joseph A. Eviatar, MD
Question viewed 286 times
Tags: fat melting, loose skin, pinched, risk, transconjunctival

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?

13 answers to What Are the Risks of Transconjunctival Lower Eyelid Surgery with Skin Pinch?

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.

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

www.ChelseaEye.com

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.

Richard Galitz, MD
Miami Facial Plastic Surgeon

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... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

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... more

Donn R. Chatham, MD
Louisville Facial Plastic Surgeon

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... more

Jenifer L. Henderson, MD
Silverdale Facial Plastic Surgeon

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:... more

Eric Pugash, MD
Vancouver Plastic Surgeon

Transconjunctival blepharoplasty.

There should be almost no risk if you go to an experienced plastic surgeon who has done these for many years.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

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.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

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... more

Jeffrey D. Hoefflin, MD
Los Angeles Plastic Surgeon

Honestly it is very difficult to usefully answer this question for you.

A photograph would be very helpful to meaningfully answer this question. The particular risk of the surgery really relate to your precise anatomy. For example, if your issues are such that a filler service is all you actually need then having unnecessary surgery is a complication. The skin pinch can sometimes be a skin muscle pinch. The key really relates to the execution of surgery. General plastic surgeons and facial plastic surgeons do offer these procedures... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Risk of transconjuctival blepharoplasty with skin pinch

The risk of this procedure is, IMHO, the same as the risk for any lower lid eyelid surgery. There is nothing wrong with this recommendation. But lower eyelid surgery can be tricky. You may want to see someone who is a nmember of the American Society of Ophthalmis Plastic and Reconstructive Surgery for an opinion before proceeding.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon

www.kassmd.com

Risks of transconjunctival lower lid blepharoplasty

The biggest risk of lower eyelid surgery in lower eyelid malposition, or scleral show. If extensive scar tissue builds up around the middle lamella (muscle layer) of the lower eyelid, it's possible for the lower eyelid to be dragged into a lower position, creating a very unnatural appearance. Transconjunctival lower eyelid blepharoplasty minimizes the risks of this, by allowing for fat excision without violating the middle layer of eyelid. I more commonly use laser to tighten the... more

Sam Jejurikar, MD
Dallas Plastic Surgeon

Transconjunctival lower eyelid surgery

Transconjunctival lower lid surgery is indicated for patients who have excess bulging of the lower lid fat AND also have reasonably smooth external skin. It leaves no external scar. I also have combined it with a "skin pinch" in selected patients when there is slight excess skin. This scar blends very well with the lower lid skin and gives a very natural result. For skin that cannot be simply pinched, laser resurfacing of the lower lid skin will tighten it, however, the down time with... more