​Transconjunctival blepharoplasty describes the incision placement for lower eyelid surgery. This approach gives access to the fat pads of the lower eye as well as the orbital septum but does not facilitate lower eyelid skin tightening procedures. The traditional approach places an incision directly under the lower lid eyelashes for camouflage. Both approaches can be utilized during the same surgery to avoid incision/excision of the orbicularis oculi muscle and also to suspend a lax lower lid (usually if an upper blepharoplasty is also performed). An in person surgical evaluation of your anatomy, including lower eyelid skin excess, tear troughs, and fat pads is recommended to provide an accurate assessment of incision placement.

In general, transconjunctival blepharoplasty alone is utilized in younger patients without significant lower eyelid skin excess to treat isolated lower eyelid bags.