Facial plast Surg 2001; 17(1): 021-028
DOI: 10.1055/s-2001-16366
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Transconjunctival versus Transcutaneous Approach in Upper and Lower Blepharoplasty

Andrew A. Jacono1 , Bruce Moskowitz2,3
  • 1Departments of Otolaryngology-Head and Neck Surgery, The New York Eye and Ear Infirmary, New York, New York
  • 2Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, New York
  • 3Division of Occuloplastic Surgery, The New York Eye and Ear Infirmary, New York, New York
Further Information

Publication History

Publication Date:
31 December 2001 (online)

ABSTRACT

In this article, we review the traditional transcutaneous upper lid blepharoplasty technique and contrast it to the newly described transconjunctival upper lid blepharoplasty technique that has limited indications. The technique and application of the skin-muscle flap transcutaneous lower lid blepharoplasty and the transconjunctival lower lid blepharoplasty are also discussed. We prefer the transconjunctival lower lid blepharoplasty as it circumvents the risk of lower eyelid retraction associated with the transcutaneous approach. We also discuss application of adjunctive procedures to the transconjuntival approach to enhance cosmetic results.