Lower blepharoplasty - will it affect shape of my eyes? How common is eyelid retraction with the transconjunctival approach?

Thank you for the question. Eyelid retraction is always a risk with all techniques of eyelid surgery. However, transconjuctival approach typically avoids injury to the septum and the muscle of the eyelid, which keeps the eyelid stable. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

Transconjunctival lower eyelid blepharoplasty is an excellent way to approach lower eyelid fat. It is uncommon to get lower eyelid retraction by using this approach. This should not change the shape of your eyelids.

Since the eyelid muscle is not affected by the trans conjuctival approach, if the procedure is done optimally, change in eyelid shake should be very rare. Choose an experienced surgeon.