Transconjunctival vs. Transcutaneous Blepharoplasty

I am a 34 year old male with eye bags. I have gotten two opinions on how to treat them. Now I am confused.Is one procedure safer than the other? How long do the results last?

Tags:

Comment on this

23 Doctor Answers | Asked by Frank1234 in Duluth, GA

Doctor Answers (23)
Community Comments (0)

Benefits of Transconjunctival Blepharoplasty vs External Incision Blepharoplasty

Thank you for your question. The main benefit of Transconjunctival Blepharoplasty over traditional Blepharoplasty with External Incision is that the support of the lower eyelid is maintained. External Eyelid Incision Blepharoplasty can damage the lower Eyelid support and result in a pull down or sag of the lower eyelid. This can be a very serious complication and in fact change in Eyelid Shape is the most common complication of traditional Lower Eyelid Blepharoplasty. Another... more

You want to be very careful in doing transcutaneous blepharoplasty

In general you want to be very careful in doing transcutaneous blepharoplasty. Most patients, especially if you are 34 years old, do not need skin removal. The transconjunctival approach, with a physician who is experienced, has less chance of lower lid retraction and a more natural result. You have to be very careful and not have too much fat resected and be conservative about it. Some of the fat prolapse is because there is hollowing underneath the fat pocket. In a position like yours... more

Transconjunctival vs transcutaneous lower lid bleph

For you, based on age and pix, I would say that the transconj is probably best....you may not need any skin excision and therefore there will be no visible outside scars (not that it matters because they heal imperceptibly). The transcuteneous approach requires cutting accross the orbicularis muscle to reach the fat (bag) and it MAY weaken the lower lid and cause rounding.

Andrew Pichler, MD

1 review

Sacramento Facial Plastic Surgeon

facedr.com

Transconjunctival vs. Transcutaneous Blepharoplasty - which is better?

Based on your photos, as a young individual whose predominant problem is puffiness to the lower lids, you are an ideal candidate for a transconjunctival blepharoplasty. The minimal amount of excess skin you have will re-drape nicely after the fat is removed, and if performed by an experienced surgeon, the healing time with the transconjunctival approach will be very short with minimal discomfort. Both approaches are quite safe when applied appropriately since the chance of ectropion in... more

Type of Blepharoplasty Is Based On Eyelid Anatomy And Aging Concerns

It is not question of whether there is a safety difference between transconjunctival vs transcutaneous blepharoplasty, it is a question as to which one is better for you and your eyelid anatomy and aging issues. As you can see by the answers posted here, every conceivable blepharoplasty option has been suggested. So it is not surprising that of your two consults, you have gotten two seemingly different blepharoplasty suggestions. In good hands, both options will offer improvement and it is a... more

Transconjunctival or Subciliary Blepharoplasty

Frank, you live in an area with outstanding blepharoplasty surgeons who can examine you personally, talk to you at length about your specific issues, and give you world class treatment for either technique. In the right hands, both techniques are safe and effective. The longevity of your procedure is impossible to answer as it depends on your particular aging and sun exposure--both of which are unique to you. I would request a consultation with... more

You may benefit from an Injectable Filler treatment to minimize the appearance of your lower eyelid bags.

I read your concerns and reviewed your photos. In my practice, I hardly ever remove lower eyelid fat (lower blepharoplasty) since it may lead to a hollow appearance, and increase wrinkles in the lower eyelid skin. You may consider a non-surgical, Injectable Filler treatment to fill the lower eyelid groove which could diminish the appearance of your bags. You should make sure your physician is experienced in the delicate art of filling lower eyelid grooves, and check many photos before... more

Eric M. Joseph, MD

199 reviews

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Avoid the skin incision

You will do well with transconjuctival lower blepharoplasty since you do not seem to much extra skin. Your surgeon should prepare you though if extra skin develops after conservative removal of fal and repositioning he may need to remove a little skin.

Transcutaneous vs transconjunctival blepharoplasty--which is better?

The simple answer is that a transcutaneous incision must be made if there is excess skin and muscle to be removed; this incision (properly performed) leaves a virtually imperceptible scar right below the eyelashes, and allows access to trim, reposition, and properly release eyelid structures, precise surgical maneuvers impossible via a transconjunctival approach. That is why this is considered the "standard" approach, and the one most commonly used by most blepharoplasty surgeons,... more

Transconjunctival vs. transcutaneous lower blepharoplasty

You appear to be a good candidate for the transconjunctival approach, as you do not have excess skin. In my practice I always remove the fat transconjunctivally; I then remove skin from the outside if necessary. This reduces the surgical injury and dramatically lowers the risk of ectropion, or pulling of the lid downward after surgery.