What is Transconjunctival Blepharoplasty?

What is Transconjunctival Blepharoplasty?

Posted on June 17, 2016

What is Transconjunctival Blepharoplasty? | Eyelid Surgery | OrlandoDue to aging and other factors, the area below the lower eyelids may develop excess skin, fat and muscle, resulting in an undesirable bulge below the eye. The orbital septum may lose elasticity with aging, and cause bulging of the orbital fat. These problems can be corrected effectively with a unique, less invasive cosmetic surgery procedure called transconjunctival blepharoplasty.
Patients should note that blepharoplasty is a sensitive procedure because it involves the eyes. Therefore, they should only choose a fully trained and experienced surgeon for this aesthetics procedure. Dr. Thomas Fiala is a board certified plastic surgeon providing transconjunctival blepharoplasty to patients in Orlando, Altamonte Springs, FL, and surrounding locations.

Safe and Effective

Transconjunctival eyelid cosmetic surgery involves made through the lower lid conjunctiva. This avoids an external incision through the skin and leaves no visible scarring. The technique obviates many of the lower eyelid malpositions. The procedure also minimizes the risk of complications that may typically occur after a traditional eyelid surgery procedure.
Transconjunctival procedure is more appropriate for patients with minimal skin and muscle laxity or predominant fat deposits who would not require skin excision. Complications can be minimized in such patients with this less invasive technique. Another key advantage of this technique is that it avoids disturbance of the orbital septum. This helps to reduce the risk of eyelid malposition after the surgery.
This aesthetic technique is equally effective for younger as well as older patients with mild to moderate skin redundancy. The surgeon can remove excess fat from the lower lid area, re-drape and redistribute the fat, and create an access point to the midface if required. Leading plastic surgeon Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and nearby areas for transconjunctival blepharoplasty.


If the surgery is being performed as an isolated procedure, the surgeon may use local anesthesia with or without IV sedation. Local anesthesia will be administered into the treated area. The fat pads may be anesthetized individually in order to limit patient discomfort.
Surgeons commonly use corneal protectors, but they may also use stay sutures to protect the cornea and provide wide access to the orbital fat following the incision. Safe dissection can be performed using a small double skin hook or traction suture in the lower lid margin to maximally expose the inferior fornix.

Excising Orbital Fat

The surgeon will place one or two incisions in the lower eyelid conjunctiva. The incisions will overlap to enable preservation of the conjunctival bridge over the inferior oblique muscle. This will protect the muscle during the surgery. The muscle is typically visualized clearly in the wound’s depths in order to perform the procedure in a precise manner.
Once the surgeon reaches the orbital fat compartments, a gentle pressure is applied on the globe to provide guidance for the level of fat resection. It is important to avoid excessive fat resection. In the transconjunctival approach, it can be difficult to evaluate the amount of fat to resect. Therefore, the procedure should ideally be performed by an experienced, astute, and talented surgeon.
For more information of the treatments and procedures offered at this Plastic Surgery Center & Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222 or visit www.plasticsurgeryinflorida.com ; day-spa-orlando.com ;freezemyfatflorida.com


220 East Central Parkway
Suite 2020
Altamonte Springs, FL 32701
Contact Us