Transconjunctival lower blepharoplasty -- how does Ehlers Danlos and skin friability affect this?

Question

I'm told a transconjunctival lower bleph is best for my eye bags. As I understand it, this tends to be a sutureless procedure. Is it always sutureless? What about my Ehlers-Danlos Syndrome? I had uneventful healing after carpal tunnel open release, but I am older now and notice my skin's much thinner. Small things cut it easily. A paper bag over my arm created a cut, which widened and infected overnight. It wouldn't heal so I had to take Keflex. I am concerned sutureless incisions wouldn't too.

Mehryar (Ray) Taban, MD, FACS · Answer

Transconjunctival lower blepharoplasty should be safe procedure for you. It involves incision inside the lower eyelid, without skin cuts or eye shape change.

William Portuese, MD · Answer

In our practice, we perform a lower blepharoplasty through transcontinental approach which removes the fatty deposits in the lower lids creating the puffy look. There is no skin removal with this approach. A conservative amount of fat is removed from three compartments through two small 1/8 inch incisions. No sutures are required for this. Choose your surgeon wisely with extensive experience producing natural  eyelid results

Tracy E. McCall, MD · Answer

I would think that the transconjunctival approach would be a better choice for you. You may have some delayed healing, but I wouldn't expect this to be a significant problem.

Darab Hormozi, MD · Answer

Transconjunctival blepharoplasty is done from the inside of the eyelid so there is no skin cut outside therefore skin healing is not an issue.  With Ehlers- Danlos, your skin has much less elasticity than normal and it is possible that you get some wrinkling and sagging skin after the surgery.  I do not see any reason not to have and additional external skin removal !!.  Get a second opinion from an oculoplastic surgeon

Sara A. Kaltreider, MD (retired) · Answer

Transconjunctival blepharoplasty has the advantage of hiding the incision in the conjunctival tissue behind the eyelid. Some surgeons use fast-absorbing sutures to close the conjunctiva - and some do not. Patients appear to heal more quickly with this technique. Antibiotic drops may be prescribed to prevent infection. Theoretically this would be a great approach for patients with Ehlers-Danlos Syndrome to avoid skin healing issues. If you do have excess skin, then removal could be done along the lateral crows' feet area. Best wishes.

Transconjunctival lower blepharoplasty -- how does Ehlers Danlos and skin friability affect this?

Answers (5)

Answer: Lower lid bags

Answer: Lower lid bags

Answer: Transconjunctival lower lid blepharoplasty

Answer: Transconjunctival lower lid blepharoplasty

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Transconjunctival lower blepharoplasty -- how does Ehlers Danlos and skin friability affect this?

Answers (5)

Answer: Lower lid bags

Answer: Lower lid bags

Answer: Transconjunctival lower lid blepharoplasty

Answer: Transconjunctival lower lid blepharoplasty

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.