Transconjunctival blepharoplasty: the operation of choice for safe and effective correction of the lower eyelids

Eyes – this is the first thing that people pay attention to during a conversation with a person. That is why it is so important to preserve the youth and beauty of the area around the eyes. You can get rid of bags under the eyes, eliminate sagging skin and restore the attractiveness of the area around the eyes with the help of such an effective and less traumatic operation as transconjunctival blepharoplasty. More about how this operation is performed, to whom it is shown, and what are the features of the recovery period after it – read on estet-portal.com in today's article.

The material was written on the recommendations of a plastic surgeon, MD, a member of the European Academy of Facial Plastic Surgery, the American Academy of Cosmetic Surgery and a full member of the European Society of Rhinoplasty, director of the Perfecto Room clinic Andrey Kharkov.

Features of transconjunctival blepharoplasty for lower eyelid correction

Such a popular plastic surgery as lower eyelid surgery is very often performed through transconjunctival access, which has a number of distinct advantages.

Transconjunctival blepharoplasty involves access to underlying skin structures through the conjunctiva.

Thus, it is possible to avoid trauma to the skin of the lower eyelid, and, accordingly, the formation of scars. That is why transconjunctival blepharoplasty is considered one of the most gentle, but at the same time, effective surgical methods for correcting the lower eyelids. In addition, the recovery period after the operation is quite short, which is also an advantage of this operation.

Transconjunctival blepharoplasty:

main indications for transconjunctival blepharoplasty;
features of transconjunctival blepharoplasty operation;
recovery period after transconjunctival blepharoplasty.

Main indications for transconjunctival blepharoplasty

Transconjunctival blepharoplasty is indicated for patients in the following cases:

young patients who have fat bags under the eyes but no excess skin or muscle;
patients with a tendency to form hypertrophic, keloid and dystrophic scars;
for patients of color;
patients who have previously had insufficient volume of fat sacs removed, or those who have new fat sacs after removal;
Elderly patients who have weakened orbicularis oculi and ligaments and have slight excess skin.

In all these cases, transconjunctival blepharoplasty is the optimal method for correcting the lower eyelid.

Peculiarities of performing transconjunctival blepharoplasty

The operation of transconjunctival blepharoplasty in the Perfecto Room clinic (director Andrey Kharkov) is carried out in several stages. After performing local anesthesia, an incision is made at the level of the lower edge of the tarsal plate, which provides two planes for dissection: the plane of the preseptal rupture, which opens the way to the fat sacs that cross the septum, or the plane of the retroseptal rupture, which preserves the integrity of the ligament «orbital septum– circular muscle of the eyeball", and opening a direct path to the fat bodies. Next, the removal of fat is carried out, which should be limited only by resection of its excess, protruding beyond the level of the orbital rim with a slight rotation of the eyeball. It is not necessary to close the incision after fat removal,

Recovery period after transconjunctival blepharoplasty

The recovery period after transconjunctival blepharoplasty is quite short, since no external incisions are made during the operation, and is only 7-10 days. At this time, the patient needs to instill antibacterial agents in the eyes, as well as make local compresses with fresh saline. If the patient has excess skin, the eyelid should be recontoured after removal of the excess fat. During the first week after surgery, edema and hematomas can rarely be observed, and within a few months – spots on the skin, about which the patient should be warned in advance.