Transconjunctival Blepharoplasty – Learn To Reduce Eye Bags Or Loose Skin Under Lower Eyelids

Transconjunctival Blepharoplasty - Reduce Eye Bags Or Loose Skin Under Lower Eyelids

Blepharoplasty is a surgical procedure used to correct eyelid appearance. It happens that if you have droopy eyelids, hooded eyelids or any other eyelid issue that makes your facial appearance quite dull then you can try this surgery. When you have bags, excess skin, fat or muscle, or when your lower eyelid ages and become loosened then they cause an unattractive bulge to develop just below portion of the eyelid. And for this reason, a type of surgery called transconjunctival blepharoplasty is taken into consideration. Here, in this blog, you will get to know everything about transconjunctival blepharoplasty including its procedure, benefits, risk factors, recovery time and more.

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What Is Transconjunctival Blepharoplasty?

Transconjunctival Blepharoplasty

Transconjunctival Blepharoplasty is actually a type of eyelid surgery that is performed to improve the appearance of loose skin on eyelid and bags under the eyes. This surgical procedure is generally performed internally and it produces no outside scars and also preserves the eye’s natural shape. Transconjunctival blepharoplasty is a technique that used to improve the lower eyelid’s appearance. This surgery can be more effective for those patients who look to enhance their eyelid contour.

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It is a fact that eyes is the first place where the world looks to interpret the emotional state. The first step is the eye contact in nearly all human interaction and it also builds trust. During the aging issue, the very first sign that people notice is the development in the puffy eyes or bags under the eyes. This issue can be corrected with blepharoplasty. Several styles and techniques are there that are related to blepharoplasty but when it comes to improving or repairing the appearance of the lower eyelid, the transconjunctival approach has become so popular. This is because it does not show any visible scars and it also has a very low complication rate.

Who Are The Best Candidates For Transconjunctival Blepharoplasty?

transconjuctival eyelid incision

Lower eyelid blepharoplasty or lower eyelid surgery that is performed via a transconjunctival approach is actually a popular surgery. The blepharoplasty’s cost is less than so many other procedures for face and it can have a dramatic impact on the appearance. A good candidate for transconjunctival blepharoplasty if and only if you:

  • Look Tired
  • Have eye bags on lower eyelid
  • Good skin tone and muscle on lower eyelid

How Is Transconjunctival Blepharoplasty Performed?

Transconjunctival blepharoplasty is done after anesthesia is administrated which is a small incision of about 1-1.5 cm in length is generally made on the inside portion of the eyelid. After anesthesia is induced, then the patient was draped and prepped and the nasojugal groove is then infiltrated to the periosteum along with the combination of 1%, with 1:100 000 epinephrine and 2 ml of lidocaine hydrochloride. After then, 2 milliliters of the same anesthetic mixture is infiltrated in a transconjunctival procedure.

An incision is generally made 5 mm below the inferior just the eyelid’s full width via the lower eyelid retractors and the conjunctiva. The retractors and the conjunctiva are generally engaged with a 4 to 0 silk traction stitches that are secured to the head drape. After this, the dissection is preceded so that one can identify the inferior oblique muscles and central and the nasal fat pads between them.

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During this procedure, the correct amount of fat for a plain eyelid outer contour is generally removed. If anything remains then it may be sculpted and then leads to repositioning depending on the needs of the face’s appearance.

But because of the nature and the location of the incisions, the cut edges contact each other without requiring stitches. The rapid healing time means that you will be able to use makeup and other cosmetic sooner than the other techniques. However, is some cases, bruising may take place but it heals within a few days.

During this procedure, sometimes you get dark circles, but to improve this eyelid issue, your doctor may use PRP (Platelet-Rich Plasma). It is actually derived from the blood of the patient. The platelets are the important cells to heal and most of the factors for its growth are separated from the plasma by centrifugation. This Platelets-Rich plasma is then placed just under the skin so that it can improve the quality of the skin and the dark circles as well.

Transconjunctival Blepharoplasty Postoperative After Effects

After the surgery is done, the eyelid is then pulled upward to align the anatomical planes so that one can avoid palpebral or synechia retraction. Some anti-inflammatory and antibiotic eye drops are applied to the conjunctiva. Also, cold wet compresses may also be applied for two hours and no other specific dressing is used. One can also wear refrigerated gel glasses after the surgery for some days to extend the anti-inflammatory action. Minimal edema and ecchymosis can persist up to one week.

Transconjunctival Blepharoplasty Risk Factors

Transconjunctival Blepharoplasty Risk Factors

There are several kinds of surgeries that have several risk factors and transconjunctival blepharoplasty is one of them. There are some rare and minor risk factors and complications related to the transconjunctival blepharoplasty. Every surgery has some possibility of risks and complications which includes negative reaction or infection to the anesthetic. However, the best way to reduce such kinds of complications is to follow the post and pre-surgery instructions properly.

Well, the common risk factor and complication you may get with this surgery is blurred or double eyelid or double vision, temporary swelling, most probably at the eyelid’s corners. These two complications are familiar and it passes on in some days or even weeks.

Also Read: Blepharoplasty (Eyelid Surgery) – Cost, Risks, Before & After, Best Alternative and More

Benefits Of Transconjunctival Blepharoplasty

The major purpose of transconjunctival blepharoplasty is to rejuvenating the eyes with lifetime results. As the per need of the patient, the plan for surgery and recovery will be made utilizing the most possible effective technique. There are some varieties of techniques and styles used for transconjunctival blepharoplasty which is also a kind of bilateral blepharoplasty. But, there are some benefits that transconjunctival blepharoplasty offers but the tradition surgeries do not. So, know here from below what they are:

  • Shorter time for surgery
  • No external scarring
  • Recover time is fast
  • Reduced swelling and bruising
  • Less tissue trauma
  • Eye shape is preserved better

In this way, transconjunctival blepharoplasty is believed to be the best way to reduce those eye bags and make the loosened skin tighten. This surgical procedure is quick and offers less recovery time and also there is no visible scar. The results of this surgery are more pleasing than using topical ointments or creams for a lifetime.

Does Non-Surgical Option For Eyebags Works?

This question comes to every person’s mind who opts to go with transconjunctival blepharoplasty or eyelid surgery. But, the question is very clear and simple. Non-surgical option s like using ointments and creams cannot reduce your eyebags that are caused because of herniated fat. As already mentioned that these bags or big fat pockets are underneath the eyelid skin, topical ointments, creams and any other non –surgical treatments are ineffective.

However, while using the non-surgical filters, it can temporarily treat selected cases of puffy eyes by simply hiding the far’s bulges. If it happens, the best candidate for this kind of surgical procedure who have a minimal fat prolapse. Such fillers are just temporary in some situations then and in that case, the fillers may last longer than the bruising at the minimal stage. Most possibly, the non-surgical doctors use fillers in such a way that it may lead to eye bags to take place even larger.

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Transconjunctival Blepharoplasty Before And After

When a person is getting treated with transconjunctival blepharoplasty, then great changes can be seen in the patient. So, look below to know the best transconjunctival blepharoplasty before and after effects:


Final Verdict

In the world of cosmetic surgery, the inferior blepharoplasty via a transconjunctival approach has taken some specific place. If you have eye bags or extra skin on lower eyelid then you can go with the transconjunctival blepharoplasty. You can know everything about this eyelid surgery from the information mentioned in different sections of this blog. So, try to consult your doctor if you have eye bags or loose skin under the lower eyelids and go ahead with this bilateral blepharoplasty surgery. This surgery is less expensive and has positive effects on the patient who have eye bags and loose skin under lower eyelids.


Transconjunctival Blepharoplasty - Learn To Reduce Eye Bags Or Loose Skin Under Lower Eyelids
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Transconjunctival Blepharoplasty - Learn To Reduce Eye Bags Or Loose Skin Under Lower Eyelids
For those who have eye bags or loose skin under the lower eyelids can get treated with transconjunctival blepharoplasty. This is a kind of eyelid surgery that corrects eye bags, loose skin under lower eyelids, reduce excess skin from eyelids and more.
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Eyelids Lift
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