Understanding Transconjunctival Blepharoplasty
The distinguishing feature of this approach is the lack of a skin incision. Depending on the degree of necessary dissection, and patient comfort with local anesthetic only, the procedure may be done under local or regional block with or without sedation, or under general anesthesia or some variation of it. A topical anesthetic is applied to the eye, a corneal shield may be applied to protect the cornea. A cut is made in the depth of the conjunctival sac or the fornix.
Dr. Gerzenshtein prefers this approach to the approach that uses a more superior incision, for multiple reasons. Through stab incisions in the capsulopalpebral fascia fat is removed under direct vision, checking constantly for symmetry and any bulging still remaining. Typically, no suturing is required, as the puncture sites heal within a day. If mild to moderate skin laxity is present, carbon dioxide laser resurfacing is added to the lower lids.
What is Transconjunctival Blepharoplasty?
Transconjunctival blepharoplasty is a surgical procedure that focuses on rejuvenating the lower eyelids. Unlike traditional blepharoplasty, which involves external incisions, transconjunctival blepharoplasty utilizes incisions made on the inner surface of the lower eyelid, leaving no visible scars.
During the transconjunctival blepharoplasty procedure, a skilled surgeon creates a small incision inside the lower eyelid. Through this incision, excess fat deposits are carefully removed or repositioned, resulting in a smoother and more youthful appearance. In some cases, a combination of fat removal and redistribution is performed to achieve optimal results.
Benefits of Transconjunctival Blepharoplasty
- Minimally Invasive: Since the incision is made on the inside of the eyelid, there are no external scars, making this procedure less noticeable and more aesthetically pleasing.
- Natural Results: By targeting the fat pads responsible for under-eye bags, transconjunctival blepharoplasty offers a natural-looking outcome, restoring a refreshed and youthful appearance to the eyes.
- Quicker Recovery: With this procedure, the recovery time is generally shorter compared to traditional blepharoplasty. Swelling and bruising are typically minimized, allowing patients to return to their daily activities sooner.
Following transconjunctival blepharoplasty, it is important to follow the surgeon’s instructions for optimal healing. This may include applying cold compresses, using prescribed ointments, and avoiding strenuous activities during the initial recovery period. It is essential to attend follow-up appointments to monitor progress and ensure the best possible outcome.
In conclusion, transconjunctival blepharoplasty is a highly effective and minimally invasive procedure for rejuvenating the lower eyelids. By targeting excess fat deposits through an incision made on the inner surface of the eyelid, it offers natural results and a quicker recovery time. Hence, if you are considering eyelid rejuvenation, consult with a board-certified plastic surgeon to determine if transconjunctival blepharoplasty is the right option for you.
Check out our gallery of before and after images for blepharoplasty here.