ABSTRACT
Cosmetic blepharoplasty is directed at the surgical correction of undesirable changes
of the eyelids that are usually of an acquired nature and caused by aging. The goals
are to improve the appearance and, many times, the function of the eyelids. Just as
important as attaining these goals is avoiding any complications or undesirable sequelae
of a blepharoplasty procedure.
In this article, the technique and application of transconjunctival blepharoplasty
are reviewed. The differences in the preseptal and retroseptal approaches are discussed
and illustrated. The transconjunctival technique can be expanded through the use of
various other techniques in order to apply it to a wider variety of patients. These
expanded techniques of transconjunctival blepharoplasty allow the surgeon to manage
excess skin and rhytids more effectively.
Transconjunctival blepharoplasty, therefore, represents a technique in the armamatarium
of surgeons performing cosmetic blepharoplasty that has gained new popularity. The
technique can be effectively applied to a wide variety of patients. Transconjunctival
blepharoplasty allows the surgeon to accomplish many of the esthetic goals of blepharoplasty
while reducing the incidence of many of the associated problems, i.e., lid malposition
and a visible cutaneous scar.
KEY WORDS
Transconjunctival blepharoplasty - preseptal or retroseptal approach
