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Expanded applications for transconjunctival lower lid blepharoplasty
1Pacific Surgicenter, Santa Monica, Calif.
Plastic and Reconstructive Surgery
|August 1, 1991
Summary
The transconjunctival approach for lower blepharoplasty is effective even for patients with skin excess. This technique avoids prolonged lower eyelid retraction, making it a favorable option for a wider range of patients.
Area of Science:
- Plastic Surgery
- Ophthalmology
Background:
- The transconjunctival approach for lower blepharoplasty has gained recent attention.
- Initial studies focused on younger patients with isolated fat prolapse.
Purpose of the Study:
- To evaluate the safety and efficacy of the transconjunctival approach in a broader patient population.
- To assess the suitability of this technique for patients with skin laxity and excess.
Main Methods:
- A retrospective review of 104 patients undergoing transconjunctival lower lid blepharoplasty over two years.
- Analysis of outcomes, focusing on lower eyelid retraction and aesthetic results.
Main Results:
- No prolonged lower eyelid retraction occurred in any patient.
- The transconjunctival approach yielded favorable results even in patients with fine wrinkling and significant skin excess.
- Apparent skin excess often resolved post-excision, serving a recontouring function.
Conclusions:
- The transconjunctival approach is a safe and effective technique for lower blepharoplasty, even in patients with apparent skin excess.
- Skin excision may not always be necessary, and patients with perceived skin excess can be candidates for this procedure.