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What is transconjunctival blepharoplasty?

Transconjunctival blepharoplasty: Terrible words to pronounce, basically means doing eyelid surgery on a lower lid from inside the eyelid through the fine mucous membrane, called conjunctiva. So it’s sutureless surgery and it allows me to get to your little fatty eyebags through the conjunctiva, where the wound is completely hidden, that is called transconjunctival.
With transconjunctival approach to the fatty eyebags you can do a lot more, because you can just remove those fatty eye bags or you can go down a little bit lower and you can open up the septum, which is one of the tight membranes, and release the fat into the tear trough area, which is the hollowed area which lays just below your eye bags. So that is called, in oculoplastic terms, the septal reset or fat repositioning.
Or you can take a little bit of the fat out of the conjunctiva and then reintroduce it as little fat pearls along the tear trough hollow. That is usually reserved for when you are doing surgery also through the skin. So when you are doing combined transconjunctival fat blepharoplasty with the skin blepharoplasty and you want to particularly correct the fatty bags, the hollows and the excess skin wrinkles.

More about Jane Olver

Ms Jane Olver is the founder of Clinica London and a Consultant Ophthalmologist and Oculoplastic Surgeon. Her special expertise is in oculoplastic and cosmetic eye surgery including eyelids and lacrimal surgery. She is specialised in endoscopic lacrimal surgery for watering eyes in adults and children. She has over 20 years’ experience in treating people with eye problems just like you, and has published extensively in scientific journals about Ophthalmology and Lacrimal Surgery and is the author of the books “Ophthalmology at a Glance” and “Colour Atlas of Lacrimal Surgery”. At Clinica London, she is responsible for the Aesthetic Medicine and Surgery part, as well as patients with eye, eyelid and tear duct problems, and acute eye problems.

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