Transconjunctival blepharoplasty and fat grafting for hollow eye area?

The treatment of your lower eyelids depends on the anatomic abnormality.  Often times patients will describe "bags" under their eyes, which can be many different things.  The fat may be removed very conservatively, but what may be more critical, is to reposition the fat so as to regain a... more

A transconjunctival blepharoplasty is the best way to remove orbital fat that is creating a bulge in the lower lid. Fat transfer into the sunken area also works quite well and can be performed better through a transconjunctival approach. It is not a good idea to have the external approach because the muscle... more

Your surgeon is correct. The transconjunctival blepharoplasty avoids a visible blepharoplasty incision and more importantly preserves eyelid shape. Traditional external incision blepharoplasty can injure the support of the lower eyelid and result in a sad eyed look or hound dog eyes. I prefer open composite... more

The bulge of excess fat creating the "bag" under the eye is reduced nicely by transconjunctival resection. If there is not a lot of excess skin, then there is no reason to perform an external incision and incur the slight increase in risk. Along with the fatty bulge, people often have a crease or... more

Transconjunctival fat removal and redraping is certainly an acceptable surgical modality for your situation based upon what you wrote in your question.  External or internal approach is fine.

This solution may not be as silly as it sounds on first blush. The bulge of fat is due to a bulge in the infraorbital fat behind the orbital septum.  Transconjunctival blepharoplasty removes the fat, causing it to bulge less. The hollowness most patients complain of is lower than the infraorbital fat... more

It is always better to avoid external incisions when possible.  I have been doing the transconjunctival procedure for 25 years and prefer it to other approaches.  Usually conservative removal of fat is performed so it is rare to add fat in this situation.  If a hollow trough is present below the... more

Your question is not specific enough to render a recommendation. Sunken eye, hollow eye, and bags are not anatomical terminology. They are descriptive. A surgeon would have to determine what the hollowness is due to, why an eye looks sunken, and what makes the bag. There are variations in bone, muscle, fat... more

The transconjunctival blepharoplasty sounds like the right approach for you but I would suggest moving the fat to the hollow areas and not removing any.  The fat is essentially stuck in a particular compartment that makes it look like there is too much.  However, just on the other side of the fat... more

Dear Pepys It is impossible to know your issue without a personal consultation. However, in general it is always much safer for you to have lower eyelid surgery from behind the lower eyelid transconjunctivally. Then the fat is removed from the lower eyelid using a skin incision, the surgery uniformly damages... more