3 years ago I received several consults for my dark circles. Consensus was I could get a bleph, but had little fat to remove or reposition and consider waiting. The surgeon I felt comfortable with said if I moved forward he would do transconjuctival. Going back this time he said he would do transcutaneous to reposition fat (no transfer) with skin pinch. Everything I’ve read about retraction, ectropian, etc. have higher risk via transcutaneous. I'd rather transconjunctival is safest to avoid lid retraction, ectropian, etc. - but also want to remove extra skin and pull muscle tighter. How is this usually done? Thoughts? Do I still seem too early for a procedure
November 15, 2024
Answer: Transcutaneous vs Transconjunctival blepharoplasty A transconjunctival approach to a blepharoplasty is able to remove or reposition fat but by itself does not remove skin. This procedure can be combined with a laser resurfacing to tighten the skin or a skin pinch to remove a small amount of skin. A transcutaneous approach to a blepharoplasty is performed usually when more skin needs to be removed. The fat pockets are accessed via this skin incision. There is more manipulation of the tissues and slightly greater scarring and risk of ectropion with this approach. I will often perform a muscle suspension to better support the lower eyelid muscles to minimize the chance of any eyelid malposition or ectropion during healing.
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November 15, 2024
Answer: Transcutaneous vs Transconjunctival blepharoplasty A transconjunctival approach to a blepharoplasty is able to remove or reposition fat but by itself does not remove skin. This procedure can be combined with a laser resurfacing to tighten the skin or a skin pinch to remove a small amount of skin. A transcutaneous approach to a blepharoplasty is performed usually when more skin needs to be removed. The fat pockets are accessed via this skin incision. There is more manipulation of the tissues and slightly greater scarring and risk of ectropion with this approach. I will often perform a muscle suspension to better support the lower eyelid muscles to minimize the chance of any eyelid malposition or ectropion during healing.
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November 12, 2024
Answer: Transconjunctival blepharoplasty? Your photos do not show excess skin but you do have excess fat. There is no need for fat repositioning. And there is no need for muscle tightening from what I can see. I would recommend a transconjunctival lower lid blepharoplasty. The recovery is very quick.
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November 12, 2024
Answer: Transconjunctival blepharoplasty? Your photos do not show excess skin but you do have excess fat. There is no need for fat repositioning. And there is no need for muscle tightening from what I can see. I would recommend a transconjunctival lower lid blepharoplasty. The recovery is very quick.
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November 12, 2024
Answer: Perhaps a transconjunctival blepharoplasty. Based on your limited photos, you appear to have bulging fat in your under eye area, and I do not see excessive wrinkled skin. In that regard, if you are looking to have your bags removed, a transconjunctival approach would lead to no external scar. I hope this helps. Sincerely, Dr Joseph
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November 12, 2024
Answer: Perhaps a transconjunctival blepharoplasty. Based on your limited photos, you appear to have bulging fat in your under eye area, and I do not see excessive wrinkled skin. In that regard, if you are looking to have your bags removed, a transconjunctival approach would lead to no external scar. I hope this helps. Sincerely, Dr Joseph
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