Transconjunctival blepharoplasty is a technique we use in oculoplasty to remove bags of fat, mainly from the lower eyelids, without leaving a visible scar. It is currently the most suitable option when the patient has accumulations of fat but no excess skin.
In reality, from birth we have fat deposits surrounding our eyeball that remain in place thanks to the orbital septum, a fibrous tissue found behind the orbicularis oculi muscle, as it relaxes with the passage of time the fat moves forward giving rise to fat pads.
Depending on the case, for a lower blepharoplasty the surgeon usually chooses between one of these two techniques:
- Subciliary blepharoplasty is the classic method and is performed by making an incision under the eyelashes, this technique allows the skin and muscle to be tightened and excess fat to be removed. Nowadays it is mainly used in older people where it is necessary to remove excess skin.
- Transconjunctival blepharoplasty is a newer technique and is performed by making an incision inside the eyelid, this technique allows excess fat to be removed. It is currently used mainly on young and not so young people who do not have excess skin.
We mention young people because some people, due to genetic inheritance, start to have bags in their teens or early twenties. In such cases, eyelid surgery is the only effective solution to reposition the fat and remove the excess.
In any case, the operation is performed under local anaesthesia and sedation, so that the patient remains awake and relaxed during the whole process. After the operation, the patient can return home and soon return to normal life.
Advantages of transconjunctival blepharoplasty
Transconjunctival lower blepharoplasty stands out for not leaving any visible scar, as the surgeon operates from the inside of the eyelid, accessing through the conjunctiva to remove the excess fat.
The main advantages of transconjunctival blepharoplasty, apart from not leaving a visible scar, are that the wound will be protected naturally, certain risks are reduced with respect to other techniques as we do not need to touch the orbicularis oculi muscle, neither the shape of the eye nor the facial expression is altered, and given the healing characteristics of the conjunctiva, the incision site will hardly be noticeable in 24 hours.
If you are interested in the blepharoplasty operation, you can now make a no-obligation appointment at your nearest Vistaláser clinic so that our specialists can study your case personally and provide you with a customised quote.