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Upper and Lower Eyelids Article 5

The Transconjunctival (Scarless) Eyelid Surgery

Transconjunctival blepharoplasty involved making an incision inside the lower eyelid by everting the lower eyelid. This lower eyelid surgery approach allows for the creating of an essentially scarless approach. This lower eyelid surgery approach is the preferred procedure for fat reduction in patients without excess skin and with good canthal position.

This approach minimizes but does not eliminate postoperative lower lid retraction and malposition. Occasionally, a lateral canthopexy or lateral canthoplasty stitch can be placed if necessary.