What is the main difference between transconjunctival blepharoplasty and lower blepharoplasty?
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Doctor Answers 12
Lower eyelid blepharoplasty
There is no difference. I think there was a confusion of terms. A transconjunctival blepharoplasty is a type of lower blepharoplasty. There are 2 main types of lower eyelid blepharoplasties:
(1) transconjunctival versus
The difference between the 2 is the incision placement. In a subciliary blepharoplasty, a small incision is made a couple of millimeters below your lower eyelid lashes. In a transconjunctival blepahroplasty, no external skin incision is made (unless it is combined with a small skin excision, which is sometimes necessary) and instead the surgery is performed through an incision on the inner aspect of your lower eyelid. The selection of which approach to use is depending on surgeon preference, patient factors, etc. Hope this information helps. Best wishes!
Transconjunctival blepharoplasty vs. Lower blepharoplasty
Transconjunctival vs transcutaneous lower lid blepharoplasty
There are two main approaches for lower lid blepharoplasty - an incision in the skin or an incision on the conjunctival side of the lid. In addition, the laxity of the lid margin has an impact on the extent of the procedure and should be accurately assessed by the surgeon. In young patients the transconjunctival approach is appealing because the incision is hidden, and skin does not usually need tightening/removal. An evaluation by an Oculoplastic surgeon is optimal because of the capability of assessing the horizontal and vertical mechanics of the lid - i.e., does the lid require horizontal shortening to avoid the complication of ectropion or retraction after blepharoplasty. Oculoplastic surgeons have the capability of assessing the ocular surface and health of the eye before, during, and after cosmetic lower lid blepharoplasty. Best wishes.
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Blepharoplasty approaches: Transconjunctival vs. Transcutaneous
Transconjunctival blepharoplasty is lower blepharoplasty.
Thanks for the question. A lower blepharoplasty is the overall term used for a surgical intervention to improve the appearance of the lower eyelids regardless of the technique. The lower eyelids consist of three anatomical layers, skin, muscle and fascia, and the orbital septum. The orbital fat pads lie behind the orbital septum. A transconjunctival approach to a lower blepharoplasty allows for removal of excess orbital fat pads via a conjunctival (or internal eyelid) incision avoiding an incision on the skin. The transconjunctival approach works best in younger patients with good skin but excess orbital fat pads resulting in bulging of the lower eyelids. The transconjunctival approach also allows for use of laser resurfacing of the lower eyelids in combination with the transconjunctival removal of orbital fat.
Lower eyelid blepharoplasty and transconjunctival blepharoplasty
Transconjunctival lower blepharoplasty
Most modernly trained surgeons are going to favor the transconjunctival approach due to its increased safety profile, superior long-term outcomes and ability to perform other procedures simultaneously.
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties.
Lower blepharoplasty procedure
Trasnconjunctival Versus Subciliary Blepharoplasty
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.