Will Transconjunctival Blepharoplasty Remove my Under Eye Bags? (photo)

Will Transconjunctival Blepharoplasty remove my under eye bags. I have had them my entire life. Im still in my 20's and want to get rid of the baggage.

Doctor Answers 6

Transconjunctival Blepharoplasty with Fat Grafting and Skin Pinch To Remove Eye Bags

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Thank you for your question.

Fillers can camouflage eye bags by filling the depression beneath the lower eyelid bag.

Fillers are temporary and if not injected by an experienced surgeon, serious complications are not uncommon. I also do not like the idea of repeated injections into the eyelid, especially over a lifetime in younger people.

In my experience the Transconjunctival Blepharoplasty with Arcus Marginalis Release and Fat Grafting and a Skin Pinch Blepharoplasty provides an excellent permanent solution.


Transconjunctival blepharoplasty for lower lid

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Transconjunctival Blepharoplasty can be used to reduce fat, but we rarely do it in young people. Usually filler will solve this problem much better. If you’re in your 20s and have fat removed under the eyes, in a couple of years the area will be very hollow.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 68 reviews

Trans-Conj Bleph

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The trans-conjunctival approach to cosmetic lower eyelid blepharoplasty is very favorable. Instead of approaching the fat pads from the outside (trans-cutaneous blepharoplasty) the dissection is actually performed from behind, within the eyelid.
The trans-conjunctival blepharoplasty is usually combined with an external skin pinch, to remove the redundant skin, once the fat pads are removed and deflated.
Lower lid Blepharoplasty may be performed with a combination of local anesthesia as well as light IV sedation anesthesia. General anesthesia is not necessary, although patient preference should always be taken into consideration.
Hope this at least provides useful information. Good luck and best wishes. Dr. Shah

Anand G. Shah, MD
San Antonio Facial Plastic Surgeon

Transconjunctival Blepharoplasty

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You may be an excellent candidate for a transconjunctival blepharoplasty to treat the "bags" under your eyes.  This technique does not require an external scar.   Your surgery will need to perform a formal physical exam to determine your exact treatment plan.  Best of luck!
Dr. Basu

Houston, TX

Transconjuntival Blepharoplasty for Under Eye Bags

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The design of the transconjunctval blepharoplasty is to resect excess fat from under the eye.  One should not resect too much fat, as one does not want to look "holllowed out."  This may also be followed by some trimming of excess skin, if needed.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews


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Yes, you are one of the idea candidates for transconjunctival fat excision or better yet, fat transposition [a term that means not actually removing the fat, but repositioning it lower to make a smooth transition  between your eyelid and cheek. My guess is that  this is likely a hereditary trait that others in your family probably had.

Another option for you is using injectible fillers at the junction of the prolapsed fat [which is what the "bags" are] and the cheek to camouflage the "bag". However, this is a more temporary treatment that will usually 6-12 months [sometimes longer], and will need to be repeated.

A consultation with a surgeon that is experienced with different surgical techniques for eyelid rejuvenation would be best. An ASOPRS trained Oculoplastic surgeon is your best bet, though facial plastic surgeons and some general plastic surgeons may be quite experienced as well.

Best of luck

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 42 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.