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.
Transconjunctival blepharoplasty - upper lid blepharoplasty - lower lid blepharoplasty