Minimizing deformity in lower blepharoplasty. The transconjunctival approach

Area of Science:

• Oculoplastic Surgery
• Facial Plastic Surgery

Background:

• Lower blepharoplasty addresses aesthetic concerns related to aging and fat protrusion.
• Traditional approaches can sometimes lead to complications like eyelid retraction.

Purpose of the Study:

• To highlight the advantages of the transconjunctival approach for lower blepharoplasty.
• To describe the technique and its benefits in preserving aesthetic outcomes.

Main Methods:

• The transconjunctival approach involves accessing the orbital fat pads through the conjunctiva.
• This technique allows for direct management of bulging fat.
• Skin resection can be performed if necessary, without compromising the eyelid margin.

Main Results:

• Directly addresses bulging orbital fat, a primary cause of lower eyelid prominence.
• Significantly reduces the risk of late-onset eyelid retraction compared to external approaches.
• Maintains the natural contour and appearance of the palpebral fissure.
• The technique is anatomically guided and relatively straightforward to master.

Conclusions:

• The transconjunctival approach is an effective and advantageous technique for lower blepharoplasty.
• It offers superior aesthetic results by minimizing complications and preserving natural anatomy.
• Mastery of the relevant anatomy facilitates successful application of this surgical method.