What are the different types of lower blepharoplasty?

There are a variety of lower lid blepharoplasty options today. These include skin removal through an external incision, laser tightening of skin, removal of fat from either an external or internal (transconjunctival) approach, re positioning of fat or injection of fat to help soften the tear trough.  Obtain a consultation with a board certified plastic surgeon in your area to undergo and evaluation as well as discuss these options with them.

There are two basic types of lower lid surgery.  One removes the fat from snide the lid.  That is called the transconjunctival method.  The other uses an external incision.  Each surgeon has their own articulate preference.  I think the transconjuctival approach often doesn't remove enough fat so I prefer the external approach.

The main two types of lower blepharoplasty are transcutaneous vs. transconjunctival.  Transcutaneous involves skin incision and access to the fat through the skin and muscle (orbicularis oculi muscle) where the transconjuctival approach involves making incision inside the lower eyelid with direct access to the fat, without any damage to the muscle and skin and it doesn't even require stitches.  So overall, transconjunctival approach is much safer if surgery performed by surgeon who uses this technique. You can read about the procedure using link below. See an oculoplastic specialist.

There are two types of commonly used blepharoplasty. If there is excess skin the incision is made below the lashes and fat is removed as well and repositioned. If there is no excess skin the same surgery is done with the incision through the inside of the eyelid. The most important thing is to choose a surgeon who produces natural results.

Thank you for the question. Two main categories are conjunctival (from behind the eyelid) and subciliary (beneath the eyelashes through the skin) blepharoplasty. When performing the surgery, fat can be excised or it can be repositioned. Often a combination approached is performed. I hope you find this helpful. Good luck.

For sometime, I have commonly described two categories for lower eyelid surgery (blepharoplasty) when dealing with eyelid bags, which is excess fatty tissue.  The categories are fat sparing and fat subtractive.  Fat sparing are typically techniques like fat repositioning that takes into account the groove (or tear trough) located underneath the eyelid bag.  Fat repositioning simultaneously reduces and smooths out the fullness of the eyelid bag but uses some of the fat to fill in the groove or tear trough.  This provides a smoother, more youthful contour from the eyelid to the cheek.Fat subtractive techniques simply remove the fat, but unfortunately the correct amount of fat to remove or subtract is often difficult to predict even with the most experienced surgeon's hands  Thus, it is common that too little is taken out, so the bag persists, or more commonly too much is taken out leaving a hollowed, aged appearance to the eyes.The best approach for the fat repositioning procedure is through an inside incision, called transconjunctival.  It is a more advanced approach for the fat repositioning technique but spares cutting through your eyelid muscle, which can create issues.The attached link provides more information.I hope this helps.

The excellent question has been well answered below. I would add one important caveat. In order to lessen the risk of "rounding" of the lower lid, especially when skin is removed, often times a canthoplasty or canthopexy is advisable as an addition. This is a tightening of the lower lid at the lateral canthus. Seek an experienced surgeon.

as you can see by the answers provided.  I tend to look at it as two basic methods with different approaches (aka incisions) to get there.  You either remove the fat (which can contribute to hollowness later in life) or you move the fat into the trough (which is my preference).  Skin on the outside can be excised or lasered to tighten it. 

The selection of a procedure for correction of aging of the lower eyelids depends upon the condition that needs to be corrected some choices would be:External subcillary incision with fat repositioning and muscle resuspensionSkin only procedureStandard lower lid blepharoplasty with fat removal and skin excisionA transconjunctival fat removalNeed an examination by a plastic surgeon to understand your anatomy and select the best operation to meet your goals and expectations of facial rejuvenation

While your question is an excellent one since there are so many techniques espoused to treat the lower eyelid, it is also a misconception that they are grouped into "types". The term "blepharoplasty" simply refers to modifying the eyelid, not a specific procedure. The important thing is to diagnose the anatomical structures that are causing the appearance you are concerned about and then choose treatments that effect the anatomy to produce the alteration you desire. Blepharoplasty can mean altering the amount or position of the eyelid muscle, the quantity or quality of skin, the position or tightness of the lid margin, or the amount or position of the fat. There are different ways or techniques to achieve each of those goals and different ways to approach incisions.Robin T.W. Yuan, M.D.