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Transconjunctival blepharoplasty for upper and lower eyelids.
Salvatore J Pacella1, Farzad R Nahai, Foad Nahai
1La Jolla, Calif.; and Atlanta, Ga. From the Division of Plastic Surgery, Scripps Clinic and Research Institute, and Paces Plastic Surgery.
Plastic and Reconstructive Surgery
|January 6, 2010
Summary
Transconjunctival blepharoplasty is a safe technique for periorbital aging. It effectively addresses lower lid concerns like fat and malposition, and upper lid nasal fat pads with minimal excess skin.
Area of Science:
- Oculoplastic Surgery
- Cosmetic Surgery
Background:
- Transconjunctival blepharoplasty is a well-established and safe surgical technique for addressing signs of periorbital aging.
- This approach is versatile, applicable to both upper and lower eyelids for various aesthetic and functional improvements.
Purpose of the Study:
- To review the relevant anatomy, indications, and surgical techniques for transconjunctival blepharoplasty of the upper and lower eyelids.
- To discuss potential complications, patient outcomes, and present a personal series from the senior author.
Main Methods:
- A comprehensive review of anatomical considerations pertinent to transconjunctival blepharoplasty.
- Analysis of indications and surgical approaches for both upper and lower eyelid procedures.
- Discussion of patient results and potential complications based on clinical experience.
Main Results:
- Transconjunctival lower lid blepharoplasty can successfully manage orbital fat and improve lower lid contour, potentially avoiding complications like scleral show or malposition.
- Upper lid transconjunctival blepharoplasty is effective for isolated nasal fat pad removal, particularly when minimal skin excess is present.
Conclusions:
- Transconjunctival blepharoplasty offers a valuable approach for lower eyelid rejuvenation, minimizing risks of lid malposition and scleral show.
- The technique is also effective for specific upper eyelid concerns, such as isolated nasal fat pad excision, providing favorable aesthetic results.
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