Can Transconjunctival Blepharoplasty Also Lift, Remove or Tighten Cheek Muscle?

While there is a minor lift that can be performed with a transconjunctival approach, it involves lifting a gristle layer of the cheek, not the true muscle layer.  Lifting the cheek up vertically tends to make the eyes look smaller and we do not recommend this procedure.  We perform all of our lower lid blepharoplasty through a transconjunctival approach and when cheek lifts are needed we perform cheek implants for a flattened low volume cheek or a lower face/neck lift for sagging jowls.

Thank you for your question.  While it is possible to reach the muscle through this approach it is highly unlikely that the cheek muscles were lifted.   This approach is quite restrictive and it is difficult to obtain access to  adequately address the cheek muscles.  It is,however,  very common to lift the orbicularis muscle (the muscle surrounding the eye) in the lower eyelid with this approach.  I would suspect that this was the muscle the surgeon was referring to.