Transconjunctival Blepharoplasty of the Lower Eyelids

Surgical procedure to address issues with the lower eyelids and cheek area.


Transconjunctival Blepharoplasty of the Lower Eyelids - Before
Before
Transconjunctival Blepharoplasty of the Lower Eyelids - After
After

Advantages

We perform surgeries following protocols from leading global clinics. These are minimally invasive procedures that yield a natural and stable rejuvenation result without the "operated face" effect.


  • Fat Preservation: We do not remove bags under the eyes but redistribute valuable fat to fill the tear trough or create additional volume in the cheek area.
  • No External Incisions: We prefer transconjunctival blepharoplasty, where the incision is made on the inside of the eyelid, shortening the recovery period.
  • To enhance natural results, we combine transconjunctival blepharoplasty with minimally invasive cheek lifts using the same access point, filling the cheek area with youthful volume, correcting cheek bags, smoothing out nasolabial folds, and preventing the first signs of jowls.
  • Adjustment of Tear Troughs: We smooth out excessively defined contours of the eye sockets.

  • The procedure can be combined with light fractional laser peeling of the eyelids to enhance skin elasticity, improve color, eliminate dark circles, and smooth wrinkles.
  • Careful monitoring of the eye shape ensures prevention of common complications like rounding of the eyes which adds age.
  • A small muscular roll (pre-tarsal roll) can be created under the lower eyelid to signify youthfulness and a natural rejuvenation result if desired.
  • Suborbital implants may be placed in complex cases of lower eyelid deformation or significant bone tissue loss to eliminate deficits in the orbital rim and create a smooth transition from eyelid to cheek.

Contact us regarding any questions concerning our procedures


Indications

  • Malar bags under the eyes.
  • "Sulf" (cheek hernias).
  • Dark circles under the eyes.
  • Contours of the lower orbital rim.
  • Manifestation of the tear trough.
  • Excess skin around the lower eyelid.

Preparation for the Procedure

  • Two weeks before and after the surgery: completely refrain from tanning, smoking, and alcohol.
  • Consultation with the doctor to exclude anticoagulants prior to surgery.

Contraindications

  • Decompensation of internal organ functions.
  • Hemophilia.
  • Fever.
  • Oncology at any stage.
  • Blood clotting disorders.
  • Uncontrolled diabetes mellitus.
  • High intraocular pressure.
  • Severe anemia.
  • Autoimmune diseases.
  • Exacerbation of skin diseases in the affected area.
  • Insufficient skin elasticity.
  • Pregnancy.
  • High intraocular pressure.

Information
Types of Procedures

• Classic lower eyelid blepharoplasty.
• Transconjunctival blepharoplasty.
• Cheek lift.
• Fat-preserving blepharoplasty.
• Pinch blepharoplasty.
• Cheek lifting.
• Cheek prosthesis.
• Mid-facial lift.


Anesthesia

• TIVA (Total Intravenous Anesthesia).


Duration of the Procedure

• Approximately 1 hour.


Rehabilitation

  • Day 1: Hospital stay.
  • Days 4-5: Stitch removal; in transconjunctival blepharoplasty, stitches are not used as the incision heals itself within a few days.
  • Days 7-10: Swelling and hematomas subside; pain disappears. You can return to normal activities and go back to work.
  • Day 8: Hypoallergenic makeup can be applied.
  • 3 Weeks: Avoid sports and sun exposure. Refrain from cleaning, reading, and screen fixation. Do not use contact lenses.
  • 1 Month: No visits to saunas, tanning beds, or pools; avoid hot baths.
  • 3 Months: Use sunglasses for UV protection.

Duration of Effect

• Lifetime. Effect longevity and intensity are highly individual.


The cost of anesthesia and hospitalization is charged separately from the stated prices for surgeries and depends on the operating facilities. The patient also pays separately for preoperative tests and postoperative rehabilitation.
The cost of the surgery by doctors may vary depending on the individual characteristics of the patient, the extended technical complexity (related to previously performed surgeries and procedures), as well as the use of proprietary surgical techniques.