Transconjunctival blepharoplasty is a minimally invasive eyelid surgery designed to reduce puffiness, bags, and excess fat under the eyes. Unlike traditional blepharoplasty, this procedure involves making incisions inside the lower eyelid, leaving no visible scarring on the skin. It is often preferred for patients who have excess fat but do not require skin removal, providing a natural and rejuvenated appearance.
Why Choose Transconjunctival Blepharoplasty?
This approach is ideal for individuals looking to improve the appearance of under-eye bags without the need for external incisions. The transconjunctival technique allows for fat removal or redistribution through the inner surface of the eyelid, making it a great option for those with good skin elasticity and minimal sagging. The absence of visible scars makes it an attractive choice for patients focused on achieving subtle, natural-looking results.
How is the Procedure Performed?
During transconjunctival blepharoplasty, the surgeon makes a small incision inside the lower eyelid, through the conjunctiva (the inner lining of the eyelid). This allows access to the fat deposits that cause under-eye bags. The fat is either removed or repositioned to create a smoother contour. Since no external incision is made, there are no visible scars, and the risk of external skin complications is reduced. The procedure is typically performed under local anesthesia with sedation or general anesthesia, depending on the patient’s needs.
Who is a Good Candidate?
Ideal candidates for transconjunctival blepharoplasty are individuals who have prominent under-eye bags caused by excess fat but have good skin elasticity and do not require skin removal. It is commonly performed on younger patients who are experiencing puffiness but do not yet have significant skin sagging. Patients should be in overall good health and have realistic expectations about the outcome.
Recovery Process
Recovery from transconjunctival blepharoplasty is generally faster than traditional blepharoplasty because there is no external incision. Patients can expect some swelling and bruising, which typically subsides within one to two weeks. Cold compresses and elevation of the head can help reduce swelling. Most patients can return to their normal activities after about a week, although strenuous activities should be avoided for a few weeks.
Risks and Complications
While transconjunctival blepharoplasty is considered safe and minimally invasive, there are some risks associated with the procedure. These include infection, temporary dry eyes, and bruising. In rare cases, patients may experience complications such as ectropion (outward turning of the lower eyelid) or under-correction, where not enough fat is removed. It is important to discuss these risks with your surgeon and follow all post-operative care instructions to minimize the chances of complications.
Results of Transconjunctival Blepharoplasty
The results of transconjunctival blepharoplasty are long-lasting, with many patients enjoying a smoother, more youthful appearance for years. The absence of visible scars and the natural-looking results make it a preferred option for those seeking subtle improvements. While the aging process will continue, the results of this procedure can significantly reduce under-eye puffiness and create a refreshed look for an extended period.
Conclusion
Transconjunctival blepharoplasty offers a minimally invasive solution for individuals looking to address under-eye bags without external incisions or visible scars. By removing or redistributing fat through the inner eyelid, this procedure provides natural-looking results with minimal downtime. If you’re considering eyelid surgery, consult with a board-certified surgeon to determine if transconjunctival blepharoplasty is the right option for you.
References/Sources: