What does transconjunctival blepharoplasty mean?

I want to treat my puffy under eye bags and I'm searching for an effective procedure to make them disappear. I tried masks, creams, pads... nothing works. I know what blepharoplasty means, but I don't understand the "transconjunctival" term. Can you please provide me more details about it?


F, 42, Virginia

Blepharoplasty can treat a wide range of concerns related to the aging of the eyelids.

Transconjunctival blepharoplasty represents one specific variation of blepharoplasty. It refers to an effective surgical technique of treating the bulges that form under the eyes through incisions made inside the lower eyelid.

These bulges can become more pronounced as one ages and occur as a result of a weakened orbital septum and excess fat, muscle and skin that cause under eye bags to develop.

Transconjunctival blepharoplasty has received attention in recent years as it offers a scarless method of correcting these unattractive bulges. Traditionally, under eye bags have been treated with transcutaneous blepharoplasty, whereby an incision is made in the skin to excise excessive fat, muscle and skin around the lower eyelid.

However, the external incision made on the skin can leave a scar. With transconjunctival blepharoplasty, an incision is made through the lower lid conjunctiva, avoiding the need for an external incision and subsequent scarring.

Transconjunctival blepharoplasty is also less risky than transcutaneous blepharoplasty. In the case of traditional transcutaneous blepharoplasty, lower lid complications can occur. Some patients report a postoperative change in the shape of their eyelid, or malposition (shifting position) of the eyelid.

Transconjunctival blepharoplasty limits both the incidence of these complications and other risks such as ectropion where the eyelid pulls down as it heals. As a result, it has become a popular blepharoplasty procedure as it is simultaneously safe, effective, and has a low likelihood of complications occurring.

However, it may not be a suitable option for everyone. If you have a significant amount of excess skin beneath your eyes that requires removal, a different variation of blepharoplasty, such as subciliary blepharoplasty, may be more appropriate. Otherwise, a transconjunctival blepharoplasty can be combined with a “pinch” blepharoplasty, which removes the excess skin but minimizes some of the other complications of a traditional subciliary blepharoplasty like lower lid malposition. I hope that satisfies your question.

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Hi, this means that the incision to do the blepharoplasty is located on the inside of your lower eyelid.  That way, there are no visible scars afterward.  It is a great approach for the right person!  Best of luck!

Transconjunctival refers to an incision on the inner surface of your eyelid so the incision is totally hidden. Good Luck!

transconjunctival relates to the approach.In this case the incision is done inside the eyelid without a skin incision. Form there fat can be removed or re-positioned. It is done in cases where there is not enough skin  to remove so a lesser operation is done.

There are different approaches to having your eyelids fixed. Transconjunctival means through the inside of the eyelid. There are no incisions on the outside of the skin and typically patients have puffy eyes without excessive skin. 

Subciliary blepharoplasty is done through an incision on the outside of the eye (still hidden quite well) and is typically done for patients that have puffy eyes AND excessive skin. 

So the type of blepharoplasty you have will depend on what your eyelid anatomy is.

Good luck!