Blepharoplasty FAQs

Trans-Conjunctival blepharoplasty is the more modern surgical technique for lower eyelid surgery/blepharoplasty. The technique avoids a visible incision, as the surgery is performed from the inside of the eyelid. The transconjunctival technique accesses the lower eyelid from the inside of the eyelid, leaving important anatomy (including the skin, orbicularis oculi muscle and orbital septum) intact. The technique is more challenging to perform, but overall is safer and avoids leaving a noticeable scar.

The older surgical technique is termed transcutaneous lower eyelid surgery/ blepharoplasty and involves making a surgical incision in the lower eyelid. The older technique results in a scar in the lower eyelid skin and has a risk of lowering the lower eyelid resulting in lower lid retraction or rounding of the lower eyelid.

There is a degree of artistry in lower blepharoplasty. Key to the success of the surgical technique is removing an optimal amount of fat. If too much is removed, it results in a hollowed-out appearance to the lower eyelid. Whereas, too little fat removed results in a remaining fat bulge. Dr De Silva’s approach is conservative and preserves as much of the orbital fat as feasible with the fat translocation technique.