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Related Experiment Videos

Expanded applications for transconjunctival lower lid blepharoplasty.

H A Zarem1, J I Resnick

  • 1Pacific Surgicenter, Santa Monica, Calif.

Plastic and Reconstructive Surgery
|August 1, 1991
PubMed
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.

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Minimizing deformity in lower blepharoplasty. The transconjunctival approach.

Clinics in plastic surgery·1993

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.

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  • 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.