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

Question

I am considering lower blepharoplasty to remove my eyebags. I am very concerned about my eyes changing their shape following the procedure. The plastic surgeon I would like to do it with wants to use transconjunctival approach. I still saw some reports of eyelid retraction even using this procedure. How common is it to happen? I am 34 years old with no underlying conditions. However, I had ocular rosacea in the past treated with antibiotics. I hate the eyebags but I love the shape of my eyes

Vasileios Vasilakis, MD, FACS · Answer

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.

Thomas A. Mustoe, MD, FACS · Answer

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.

Ayse Dolar Bilge, MD · Answer

Transconjunctival blepharoplasty more safer than transcutaneous one in terms of eyelid shape and retraction. You can also add some photos if you like.Best regardsDr. Ayse

C. Blake Perry, MD · Answer

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.

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

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