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Transconjunctival approach in lower eyelid blepharoplasty
D Korchia1, F Braccini, J Paris
1Department of Otolaryngology, Head and Neck surgery, La Timone University Hospital Center, 264, rue Saint-Pierre, F-13385 Marseille Cedex 05, France; ; Cabinet d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 4, boulevard de Pont de Vivaux, F-13010 Marseille, France;
Summary
The transconjunctival approach for lower-eyelid blepharoplasty offers scar-free results and fewer complications. It is ideal for specific cases like juvenile lipoptosis and secondary surgeries.
Area of Science:
- Plastic Surgery
- Ophthalmology
Background:
- Lower-eyelid plastic surgery aims to address aesthetic concerns related to aging and fat distribution.
- Traditional transcutaneous approaches can result in visible scarring and potential complications.
Purpose of the Study:
- To evaluate the indications and outcomes of the transconjunctival approach in lower-eyelid blepharoplasty.
- To compare the transconjunctival method with the traditional transcutaneous approach.
Main Methods:
- A retrospective review of 23 cases of inferior blepharoplasty using the transconjunctival approach.
- Detailed description of the surgical technique, patient selection, and outcome assessment.
Main Results:
- The transconjunctival approach provides excellent access to infraorbital fat pockets.
- This technique is scar-free, with a lower complication rate compared to the transcutaneous method.
- No instances of eyelid retraction were reported in the study cohort.
Conclusions:
- The transconjunctival approach is a valuable technique in aesthetic lower-eyelid surgery.
- Optimal indications include juvenile palpebral lipoptosis without skin excess, secondary blepharoplasty, and patients at risk of scarring.
- This method offers a safe and effective alternative for specific patient populations.
