Did my surgeon perform a transconjunctival or transcutanous procedure? I'm 43 and had a skin pinch bleph with canthoplasty.

Question

I had a lower blepharoplasty with skin pinch and canthoplasty. I was unable to fully use my lower lids for 8 weeks. With skin pinch and canthoplasty, which procedure is more appropriate, transconjunctival or transcutanous? Thanks!

John J. Martin, Jr., MD · Answer

A skin pinch and canthoplasty can be done with either a transconjunctival or transcutaneous surgery.  Many surgeons will use a transconj approach to work on the fat - either excision or transposition.  The pinch can then be done and a canthoplasty as well if there is significant eyelid laxity.

Nima Shemirani, MD · Answer

Dear Denver888,It is difficult to tell without asking your surgeonThe incision used for the skin pinch can be the same used to remove the fat pockets in the eye socketThe canthopexy is also done through the same incisionAlternatively, the skin pinch and canthopexy can be done through one incision, and the fat pockets removed transconjunctivallyBest regards,Nima Shemirani

Steven Wallach, MD · Answer

I will often use a transconj approach to avoid muscle violation and then often perform a canthopexy and skin pinch, but an open approach through a transcuatenous incision is fine too.

Constance M. Barone, MD · Answer

The terms that you are referring to concerns the approach that was used to remove the fat.   Either approach could have been used.  Best to discuss with doctor.

Paul C. Zwiebel, MD (retired) · Answer

There are many variations of blepharoplasty technique and it is very important that your surgeon choose the right procedure or combination of procedures to best fit your individual needs.It sounds like your surgeon did.In the context of your inquiry, the terms "transconjunctival" and "transcutaneous" presumably refer to the approach for fat removal: either could have been used with the other procedures you mentioned (skin pinch with canthoplasty).  To find out, you'll need to ask your surgeon.

Did my surgeon perform a transconjunctival or transcutanous procedure? I'm 43 and had a skin pinch bleph with canthoplasty.

Answers (5)

Answer: Did my surgeon perform a transconjunctival or transcutanous procedure? I'm 43 and had a skin pinch bleph with canthoplasty.

Answer: Did my surgeon perform a transconjunctival or transcutanous procedure? I'm 43 and had a skin pinch bleph with canthoplasty.

Answer: Transconjunctival or Transcutaneous?

Answer: Transconjunctival or Transcutaneous?

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Did my surgeon perform a transconjunctival or transcutanous procedure? I'm 43 and had a skin pinch bleph with canthoplasty.

Answers (5)

Answer: Did my surgeon perform a transconjunctival or transcutanous procedure? I'm 43 and had a skin pinch bleph with canthoplasty.

Answer: Did my surgeon perform a transconjunctival or transcutanous procedure? I'm 43 and had a skin pinch bleph with canthoplasty.

Answer: Transconjunctival or Transcutaneous?

Answer: Transconjunctival or Transcutaneous?

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.