There are two types of lower blepharoplasty (lower eyelid surgery). The transconjunctival lower blepharoplasty has more limited versatility; however, it has the advantage of a hidden incision. Transconjunctival means through the conjunctiva (the tissue on the inside of the eyelid). This technique allows me to remove excess fat from the lower eyelid through the back door. The advantages include a completely hidden scar and less disruption of the normal anatomy that supports the lower lid.
The more traditional blepharoplasty involves making a small incision hidden just below the eyelashes, removing excess fat and tightening the skin. This scar is also well disguised, but since it is in the skin it allows excess skin to also be removed. A link to this more frequently performed type of lower blepharoplasty is located at the bottom of this post.
Transconjunctival (Internal) Approach to the Lower Eyelids
 Before surgery, the skin is tight but excess fat beneath the eye causes a visible bulge. Shadowing from this bulge can enhance dark circles under the eyes. |
 After lower eyelid surgery with the internal approach (transconjunctival blepharoplasty), the fat bulge beneath the eye is removed and there is no external scar. |
This procedure is more often performed on younger patients who have enlarged lower eyelid fat pads. Since the lower lid skin is already tight, no skin needs to be removed. The fat can be removed via an incision on the inside of the lid, removing the under eye bags and completely hiding the scar. This approach works very well for the properly selected candidate.
If you are interested in eyelid surgery, you may also be interested in these blog entries (the last one will be posted tomorrow):
- Eyelid Rejuvenation (Blepharoplasty)
- Upper Eyelid Rejuvenation (Upper Blepharoplasty)
- Lower Eyelid Rejuvenation (Lower Blepharoplasty)
- Asian Eyelid Rejuvenation (Asian Blepharoplasty)
Additional information about eyelid surgery is also available on www.DrMele.com
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