Lower Eyelid Blepharoplasty (Internal Approach)
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Blepharoplasty can be both a functional and cosmetic surgical procedure intended to reshape the upper eyelid or lower eyelid by the removal or repositioning of excess tissue as well as by reinforcement of surrounding muscles and tendons.
Lower eyelid blepharoplasty using the internal approach—also known as transconjunctival blepharoplasty—is a minimally invasive procedure designed to remove or reposition excess fat without external incisions. At Idaho Eyelid & Facial Plastic Surgery in Boise, we specialize in advanced lower eyelid surgery techniques to help patients achieve natural-looking rejuvenation.
What Is Transconjunctival Eyelid Surgery?
Lower eyelid blepharoplasty (internal approach) is a specialized surgical technique used to improve the appearance of under-eye bags by accessing fat deposits from inside the lower eyelid. Unlike traditional methods that require an external incision beneath the lash line, this transconjunctival approach eliminates visible scarring while reducing puffiness and volume irregularities. This method is ideal for patients who need fat removal or repositioning without significant skin tightening.
How Internal Eyelid Surgery Works
Lower eyelid blepharoplasty using the internal (transconjunctival) approach involves making an incision inside the eyelid, leaving no visible scars.
- The procedure removes excess fat from the lower eyelids
- Since the incision is inside the eyelid, it remains completely hidden
Benefits of Internal Eyelid Blepharoplasty
- No visible scars since incisions are made inside the lower eyelid
- Natural-looking results that preserve the eye’s natural contours
- Minimal downtime compared to traditional lower eyelid surgery
- Effective fat repositioning to smooth out hollow areas and enhance facial harmony (for those patients opting for fat transposition)
Who is a Good Candidate?
Ideal candidates have noticeable under-eye bags caused by excess fat deposits but minimal skin laxity. This technique is best for those seeking a scar-free solution with minimal downtime. Candidates should be in good overall health and have realistic expectations.
This procedure may not be suitable for individuals with significant skin laxity, severe dry eye syndrome, uncontrolled medical conditions, blood clotting disorders, active eye infections, or a history of poor wound healing. During your consultation, our eyelid experts, Dr. Mark Boerner or Dr. Chad Jackson, will assess your concerns and determine the best treatment plan.
Transconjunctival Eyelid Surgery Procedure
The procedure begins with local anesthesia and sedation or general anesthesia for optimal comfort. A small incision is made inside the lower eyelid, allowing access to the fat deposits without any external incisions. Excess fat is carefully removed or repositioned to create a smoother, youthful contour.
Since the incision is hidden within the inner lining of the eye, no sutures are required. The entire procedure typically takes about 45 minutes to an hour.
What to Expect After Surgery
Most patients experience mild swelling and bruising after surgery, which subsides within seven to 10 days. Cold compresses and prescribed medications help manage discomfort during recovery.
In the first few days, swelling peaks but gradually improves. Patients should avoid strenuous activities during this time. Most swelling resolves by the end of the first week, and many patients feel comfortable returning to work or social activities. After two weeks, the final results become more apparent as healing progresses.
Results are long-lasting, with patients enjoying smoother under-eyes and reduced puffiness, enhancing their overall facial harmony.
Before and After Lower Blepharoplasty
Cost of Eyelid Surgery in Boise
The cost of transconjunctival lower eyelid blepharoplasty varies based on individual needs. Factors influencing pricing include surgeon expertise, facility fees, anesthesia costs, and whether additional procedures like upper blepharoplasty are performed simultaneously.
Why Choose Our Boise Eyelid Experts
At Idaho Eyelid & Facial Plastic Surgery, we specialize exclusively in cosmetic and reconstructive procedures around the eyes and face. Mark Boerner, MD, and Chad Jackson, MD, are board-certified oculofacial plastic surgeons with years of expertise in advanced eyelid surgery techniques. Our practice prioritizes patient safety while delivering natural-looking enhancements tailored to each individual’s needs.
Trust our team’s skillful hands when considering eye bag removal surgery—our Boise eyelid experts are dedicated to helping you look refreshed while maintaining your natural beauty.
Schedule a Consultation Today!
Restore a youthful, refreshed look with expert lower eyelid surgery in Boise at Idaho Eyelid & Facial Plastic Surgery. Contact us today to schedule a consultation. Eliminate under-eye bags, reduce puffiness, and achieve natural-looking results with this scar-free, minimally invasive procedure.
