Lower eyelid blepharoplasty can be approached in two ways: transconjunctival (from the inside of the eyelid) and subciliary (from an incision just below the eyelashes on the outside of the eyelids). The transconjunctival (TC) approach is a great option for patients who only have lower lid bags, without loose or excess skin. A lower lid TC blepharoplasty can be combined with a laser skin resurfacing treatment for maximum effect.

The lower eyelids are the most complicated area of the face. They have important function—to protect the eyeball—also have a complex anatomy. As an oculoplastic surgeon, I have a great understanding of the eyelid anatomy and how it functions to protect the eyeball. In my experience, it is essential to choose a surgeon who has a deep understanding of the eyelids and who performs lower eyelid surgery as a regular part of their practice.

I personally love the TC approach for young patients who have lower lid eye bags. I see a lot of young people who have eye bags that started to show up, sometimes as early as their late teens. These patients are excellent candidates for the TC approach.