Outcome of Transconjunctival Approach in Lower Eyelid Blepharoplasty

Aim- To study the outcome of transconjunctival approach in lower eyelid blepharoplasty for excision of the under eye bags mainly for cosmetic purposes. Materials and Methods- 30 patients with visible under eye bags coming to the Eye Outpatient Department of Government Medical College, Jammu were included in this study. Patients underwent transconjunctival lower eyelid blepharoplasty and were followed on day 1, day 7, day 30, day 90 after surgery to look for the visible reduction of the bulge in the lower eyelids. During follow up, subjective symptoms were noted and complications, if any, were recorded. Postoperative photographs were taken and compared with the preoperative photographs and results were analysed. Observation and Results- During the operative procedure, 13 % patients had intraoperative hemorrhage and in 13 % cases, there was difficulty in localization of fat pockets. No other complications were seen during the surgery. Average time taken to complete the surgery was 32.10�10.88 minutes. In the early postoperative period, subconjunctival hemorrhage, eyelid ecchymosis, oedema, transient diplopia and undercorrected fat excision were observed. The overall long-term cosmesis of the surgery was good in 86.66 % patients and fair cosmesis due to under correction was seen in four 13.4 % patients. Conclusion- Transconjunctival blepharoplasty is an effective technique for excision of palpebral lipoptosis (eye bags) as it allows direct access to the fat compartments. It also avoids scarring and reduces the risk of eyelid retraction. And hence, it preserves the integrity of the eyelid. Mild complications after this surgery like sub-conjunctival hemorrhage and ecchymosis resolve in a few weeks. The long-term cosmesis of this procedure is good.