How Long Before the Lower Incisions Heals After Transcutaneous Bleph Procedure?

This is unfortunate because the bulk of lower eyelid complications arise when a the lower eyelid incision but through the skin and the underlying muscle because of damage to the orbicularis oculi muscle that helps hold the lower eyelid against the eye .  Open gallbladder surgery was the tried and true method but now it has been virtually entirely replaced with laproscopic cholecystectomy except in unusual situations.  Like laproscopic cholecystectomy, transconjunctival lower eyelid surgery, which avoids the skin incision, heals much faster than the tried and true methods and is associated with far few complications.  If you have already had this surgery, the redness of the incision will fade in 4 to 6 months.  If you have not had this surgery, you might consider getting some additional opinions including cosmetic oculoplastic surgeons.

The incisions on a lower transconjunctival blepharoplasty are on the inside of the lower eyelid and are invisible to the patient.  The incisions are sealed within 24 hours and heel quite nicely a week after surgery.  There is nothing visibly externally whatsoever since it is on the inside of the lower lids.  

As a facial plastic surgeon, the physical examination determines whether a transcutaneous vs. tranconjuctival approach is used. I have performed both and understanding the anatomy of the lower eyelid is paramount in a successful transcutaneous surgery. In my experience, the incision heals very well with redness being the longer lasting issue. Usually, I find my incisions look great within 4 weeks. Makeup can be applied and camouflage any lingering redness. It is usually the swelling of the conjunctiva that may take longer to resolve. More often than not, I combine a lower lid tightening procedure and malar suspension. Tightening of the lower lid not only preserves the almond shape of the  palpebral aperture but prevents eversion of the lower lid (ectropion) and  chronic tearing in the patient with poor lid tone. I also perform an angled cut to preserve the muscular orbicularis muscle which maintains the muscular sling of the lower lid.

Jessahaa,

I tell patients that any incision will take up to one year to completely heal.  Usually within a month blepharoplasty incisions are barely visible.

A traditional blepharoplasty is tried and true and still done for some patients with excess skin.  The scar usually fades very well with time.