Lower Blepharoplasty Review, Transcon-junctival vs. Transcutaneous Approach

Alberto Rancati^*, Patricio Jacovella, Andrea Edoardo Zampieri, Julio Dorr, Mariana Daniele, Santiago Liedtke, Agustin Rancati

Plastic Surgery Division, University of Buenos Aires (UBA), Buenos Aires, Argentina.

DOI: 10.4236/mps.2015.51001                

Abstract

Currently in lower blepharoplasty, the transconjunctival approach indication has been limited to young patients without skin excess and prominence of bags; in our practice this access has become the preferred technique in most of our cases because it is simpler, faster, prevents bad scarring, produces less orbicularis muscle trauma, and decreases postoperative edema and possible retractions (ectropion) in patients with decreased lower palpebral tone. Objective: To identify important concepts when deciding this approach. Material and Methods: Retrospective review of 177 patients who underwent lower blepharoplasty by a single surgical group. Regarding techniques, the transconjunctival approach was selected in 42% of patients while the transcutaneous technique was preferred in 58%. Results: A lower rate of complications was observed by the transconjunctival approach, with greater patient satisfaction. Conclusions: In our experience, due to its simplicity and less traumatic effect on the patient, the transconjunctival approach is an ideal technique, except in cases where there is lower eyelid weakness and surgical resolution is needed.

Keywords

Transconjunctival Approach, Transcutaneous Approach, Blepharoplasty

Conflicts of Interest

The authors declare no conflicts of interest.

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