Transconjunctival Lower Blepharoplasty is a surgical technique for correcting under-eye bags through an incision made inside the lower eyelid, leaving no visible incision on the external skin. It may be suitable for individuals with prominent under-eye bags or protruding lower eyelid fat but relatively little excess or sagging under-eye skin.
At Dr. Gorn Aesthetique, the surgeon evaluates fat volume, lower eyelid anatomy, tear troughs, and facial proportions to develop an individualized treatment plan.
What Is Transconjunctival Lower Blepharoplasty?
Transconjunctival Lower Blepharoplasty provides access to the under-eye fat through the conjunctiva on the inner surface of the lower eyelid. This allows the surgeon to adjust or remove excess fat without making an incision in the external skin beneath the eye.
A key feature of this technique is that there is no external skin incision beneath the eye, and skin removal is unnecessary for patients without excess skin.
However, this approach is not suitable for everyone, particularly individuals with significant lower eyelid skin laxity who may require additional or alternative techniques.
Benefits of Transconjunctival Lower Blepharoplasty
- The incision is located inside the lower eyelid
- No external skin incision is required
- Allows access to and adjustment of the fat responsible for under-eye bags
- Does not require skin removal when there is no excess skin
- May reduce under-eye puffiness and create a smoother lower eyelid contour
- Aims to maintain the natural appearance of the eyes
Who May Be Suitable for Transconjunctival Lower Blepharoplasty?
This technique may be considered for individuals who:
- Have prominent under-eye bags or protruding lower eyelid fat
- Have hereditary under-eye bags from a relatively young age
- Have relatively firm under-eye skin with little excess skin
- Prefer to avoid an external incision beneath the eyes
- Have under-eye puffiness that makes the face appear tired despite adequate rest
The surgeon must assess the eyelid and facial anatomy before determining whether this technique is appropriate.
What Is the Difference Between Transconjunctival and Transcutaneous Lower Blepharoplasty?
The main difference lies in the location of the surgical incision.
Transconjunctival Lower Blepharoplasty uses an incision inside the lower eyelid, leaving no external skin incision. It may be suitable for patients with protruding under-eye fat but minimal skin laxity.
Transcutaneous Lower Blepharoplasty, on the other hand, uses an incision close to the lower lash line, allowing the surgeon to address both fat and excess skin. It may therefore be more appropriate for patients with accompanying skin laxity.
No single technique is suitable for everyone. The choice should depend on each patient's anatomy and specific concerns.
Fat Repositioning with Transconjunctival Lower Blepharoplasty
For individuals with both prominent under-eye bags and tear trough hollows, removing fat alone may lead to excessive hollowing in some cases.
The surgeon may consider adjusting or repositioning the fat (Fat Repositioning) to reduce under-eye bulging and create a smoother transition between the lower eyelid and cheek.
This approach depends on individual fat volume, tear trough depth, and facial anatomy.
How Long Is Recovery After Transconjunctival Lower Blepharoplasty?
Temporary swelling, bruising, irritation, or tightness beneath the eyes may occur during the initial recovery period. These symptoms generally improve as healing progresses.
Patients should avoid rubbing their eyes, strenuous exercise, and activities that may impact the eye area, and carefully follow their surgeon's postoperative instructions.
Recovery time and surgical outcomes vary between individuals.
