Lower eyelid blepharoplasty can be performed through a lower eyelid incision or through a transconjunctival approach. Both of these incisions are associated with advantages and disadvantages when performing blepharoplasty.
The lower eyelid incision is placed just below the eye lashes where it’s easily hidden. This approach can be utilized to remove both excess lower eyelid skin and fat deposits. The procedure is associated with excellent results and high levels of safety, but must be used with caution when patients have laxity of the lower eyelid.
The transconjunctival approach utilizes an incision that’s made on the inside of the eyelid where it’s not visible. This is an excellent approach when the patient has lower eyelid fat deposits with relatively tight skin. Under these circumstances, the fat can be removed without making a visible incision on the lower eyelid. It’s also an excellent choice when lower eyelid laxity is present.
When performing blepharoplasty surgery the choice of incision is dependent upon a variety of factors. Careful analysis of the patient’s unique anatomy and aesthetic goals are necessary to determine which incision is best for any particular patient. The best way to accomplish these goals is to consult a board certified plastic surgeon with experience performing eyelid surgery.