A friend mentioned getting Transconjunctival blepharoplasty.  What does this mean? Is it better than traditional eyelift surgery? I’m 52 and would like to help my under eye bags.

A: Transconjunctival lower eyelid surgery

Transconjuctival blepharoplasty refers to treating the lower eyelids through an incision hidden on the inside of the lower lid (not on the outer skin). This approach leaves no external scars and is good at addressing excess fat of the lower lids. However if you have excess skin of your lower lids, you will need a more traditional incision which is made just under the lower eyelash line to remove the lower eyelid skin. This must be done carefully so as not to injure the orbicularis oculi muscle, which is a thin muscle that gives tone to the lower lid and helps to maintain a normal appearing eye.

The type of lower eyelid surgery depends a lot on your particular anatomy.

Some patients just need fat removed, which can be done via the transconjuctival approach. Some just need skin removed, and some need a combination of both skin and fat removed.

Please consult with a board certified plastic surgeon regarding the rejuvenation of your lower or upper, eyelids.