I am a 40yr old female with prominent eye bags. I am fortunate not to have any wrinkles and or crows feet around my eyes and I don't have saggy skin all i have is alot of bulginess. I have seen several doctors and I have gotten different opinions from them, from getting a transconjunctival approach to transcutaneous approach with fat grafting. I am so confused. Not sure which approach is right for me?
Answer: Transconjunctival vs Transcutaneous Blepharoplasty Either approach might work well, but in a younger patient with minimal excess skin or skin laxity, I tend to recommend a transconjunctival blepharoplasty approach. Sometimes no skin excision is needed at all, while in other cases, a small skin pinch might be needed. I will often also laser the lower eyelid area with a fractional CO2 laser at the same time (often without the skin pinch) in order to give a small amount of tightening of the skin without removing any skin or making any incisions.
Helpful 1 person found this helpful
Answer: Transconjunctival vs Transcutaneous Blepharoplasty Either approach might work well, but in a younger patient with minimal excess skin or skin laxity, I tend to recommend a transconjunctival blepharoplasty approach. Sometimes no skin excision is needed at all, while in other cases, a small skin pinch might be needed. I will often also laser the lower eyelid area with a fractional CO2 laser at the same time (often without the skin pinch) in order to give a small amount of tightening of the skin without removing any skin or making any incisions.
Helpful 1 person found this helpful
August 25, 2019
Answer: Surgical approach for lower lid bags Most of the surgeons here have recommended transconjunctival blepharoplasty, which is a reasonable approach for someone with isolated fat bulging, as you tend to see in younger patients such as yourself. What concerns me is that your skin may have been stretched out enough that once the fat is removed, you will have some skin excess. I think it defeats the purpose of doing a transconjunctival blepharoplasty if you ultimately have to make an external incision to remove excess skin anyway. In those cases it would have made more sense to do an external approach. This is a judgement call that a surgeon can best make by examining you. You can then discuss the best options with him or her.
Helpful 1 person found this helpful
August 25, 2019
Answer: Surgical approach for lower lid bags Most of the surgeons here have recommended transconjunctival blepharoplasty, which is a reasonable approach for someone with isolated fat bulging, as you tend to see in younger patients such as yourself. What concerns me is that your skin may have been stretched out enough that once the fat is removed, you will have some skin excess. I think it defeats the purpose of doing a transconjunctival blepharoplasty if you ultimately have to make an external incision to remove excess skin anyway. In those cases it would have made more sense to do an external approach. This is a judgement call that a surgeon can best make by examining you. You can then discuss the best options with him or her.
Helpful 1 person found this helpful
August 25, 2019
Answer: Trans conjunctival versus transcutaneous approach for blepharoplasty From your photos provided it appears you have significant puffiness in the lower eyelids without evidence of redundant skin. For this reason, most experienced eyelid surgeons would recommend transconjunctival approach and (if needed) a skin "pinch" technique for removal of a small amount of lower eyelid skin.
Helpful 1 person found this helpful
August 25, 2019
Answer: Trans conjunctival versus transcutaneous approach for blepharoplasty From your photos provided it appears you have significant puffiness in the lower eyelids without evidence of redundant skin. For this reason, most experienced eyelid surgeons would recommend transconjunctival approach and (if needed) a skin "pinch" technique for removal of a small amount of lower eyelid skin.
Helpful 1 person found this helpful
August 25, 2019
Answer: Prominent fat pads You have significant fat pads for your age. A transconjunctival is the method of choice for most surgeons these days. There are usually less complications with this approach. From the inside of the lid, the fat can be repositioned inferiorly to fill in the tear trough. You have so much fat that some may need to be removed as well. If there is excess skin, a pinch of skin can be removed from directly under the lash line .
Helpful 1 person found this helpful
August 25, 2019
Answer: Prominent fat pads You have significant fat pads for your age. A transconjunctival is the method of choice for most surgeons these days. There are usually less complications with this approach. From the inside of the lid, the fat can be repositioned inferiorly to fill in the tear trough. You have so much fat that some may need to be removed as well. If there is excess skin, a pinch of skin can be removed from directly under the lash line .
Helpful 1 person found this helpful
September 12, 2014
Answer: Which would you recommend Transconjunctival vs. Transcutaneous Blepharoplasty? Patients with your anatomy can potentially get a good cosmetic improvement with either approach. Since a small amount of excess skin will probably be present after contouring the fat and internal support of the lid may be necessary with a canthopexy, the transcutaneous approach may produce a better longer lasting result.Following the advice of anyone who
Helpful
September 12, 2014
Answer: Which would you recommend Transconjunctival vs. Transcutaneous Blepharoplasty? Patients with your anatomy can potentially get a good cosmetic improvement with either approach. Since a small amount of excess skin will probably be present after contouring the fat and internal support of the lid may be necessary with a canthopexy, the transcutaneous approach may produce a better longer lasting result.Following the advice of anyone who
Helpful
