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Dr. Gerzenshtein

Jacob Gerzenshtein, MD, FACS,
A Board Certified Plastic Surgeon

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What are the disadvantages of transconjunctival blepharoplasty?

Go Back to Eyelid Surgery

Analyzing the Disadvantages of Transconjunctival Blepharoplasty

Because this procedure addresses the bulging fat of the lower lids only, any improvement in excess skin is only mild. To adequately address excess skin, a laser or chemical resurfacing procedure must be added. In addition, nasolabial folds or smile lines and droopy cheek fat, or festoons will need the external approach.

What is Transconjunctival Blepharoplasty?

Transconjunctival blepharoplasty is a surgical procedure that addresses lower eyelid concerns. By making incisions on the inner side of the lower eyelid, it allows for precise fat removal or repositioning, but it also comes with certain disadvantages and considerations.

Potential Disadvantages and Considerations

  1. Limited Skin Tightening: Transconjunctival blepharoplasty primarily focuses on addressing fat deposits and under-eye bags. However, it may not provide significant improvement for individuals with excess skin or severe laxity of the lower eyelids. In such cases, a combination of procedures or alternative techniques may be recommended.
  2. Inability to Address Fine Wrinkles: While transconjunctival blepharoplasty effectively targets fat removal and puffiness, it does not directly address fine lines and wrinkles around the eyes. Additional treatments, such as laser resurfacing or injectables, may be necessary to achieve comprehensive rejuvenation.
  3. Risk of Ectropion: Ectropion, an outward drooping of the lower eyelid, is a potential risk associated with transconjunctival blepharoplasty. This complication can lead to dryness, irritation, and exposure of the inner eyelid. However, choosing a skilled and experienced surgeon greatly reduces the risk of this complication.
  4. Possibility of Under- or Over-correction: Achieving optimal results with transconjunctival blepharoplasty requires careful assessment and surgical precision. In some cases, under-correction may occur, resulting in an incomplete desired aesthetic outcome. Conversely, over-correction can lead to a hollowed or unnatural appearance. Selecting a qualified surgeon with expertise in eyelid surgery is crucial to minimize such risks.

Is Transconjunctival Blepharoplasty Right for You?

When considering the potential drawbacks and considerations of transconjunctival blepharoplasty, it is essential to consult with a board-certified plastic surgeon. Specializing in eyelid rejuvenation, they can provide valuable insights and guidance based on your specific needs and goals. They will evaluate your specific concerns, discuss alternative options if necessary, and provide personalized recommendations based on your unique needs and goals.

In conclusion, while transconjunctival blepharoplasty offers significant benefits for addressing under-eye bags and fat deposits, it is essential to understand the potential disadvantages and considerations associated with the procedure. Limited skin tightening, the inability to address fine wrinkles, the risk of ectropion, and the possibility of under- or over-correction are factors to be considered. By seeking professional guidance, you can make an informed decision and determine the most suitable approach for achieving your desired results.

Check out our gallery of before and after images for blepharoplasty here.

Call us today at 863.647.2200 to schedule a consultation.

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