Transconjunctival lower lid blepharoplasty with and without fat repositioning

Area of Science:

• Plastic Surgery
• Ophthalmic Plastic Surgery

Background:

• Lower eyelid aesthetic concerns include tear trough deformities and infraorbital fat herniation.
• Traditional approaches may involve external incisions with potential for visible scarring.

Purpose of the Study:

• To describe the transconjunctival approach for lower lid blepharoplasty.
• To highlight its efficacy in fat resection and transposition for aesthetic enhancement.

Main Methods:

• Utilizing a transconjunctival incision to access the orbital septum and orbital fat pads.
• Performing fat repositioning (transposition) to fill the tear trough deformity.
• Resecting excess fat when indicated.

Main Results:

• The transconjunctival approach allows for direct correction of infraorbital fat herniation.
• It effectively softens tear trough deformities by utilizing or repositioning orbital fat.
• This method facilitates improved lower lid-cheek contour and shape.

Conclusions:

• The transconjunctival approach is a versatile technique for lower blepharoplasty.
• It enables simultaneous correction of fat herniation and tear trough deformities.
• A paradigm shift towards preserving orbital volume and enhancing lower lid-cheek aesthetics is evident.