Surgical Advancements: Mastering the Technique of Transconjunctival Lower Eyelid Blepharoplasty

Are you thinking about a lower eyelid blepharoplasty to seem more young and rejuvenated?


Look no further than the remarkable surgical advancements in transconjunctival lower eyelid blepharoplasty in Gurgaon. This cutting-edge technique has revolutionised the field of cosmetic surgery by Dr. Anmol Chugh, offering patients a highly effective and minimally invasive solution.

Unlike traditional approaches that involve external incisions, the lower blepharoplasty procedure can be performed transconjunctivally, meaning inside the eyelid, or externally, meaning subciliary, thereby eliminating visible scarring and reducing recovery time.

The procedure involves removing or repositioning excess fat deposits and tightening the underlying muscles to smooth out bags and wrinkles in the lower eyelid area.

With its precise and nuanced approach, transconjunctival lower eyelid blepharoplasty allows Dr. Chugh to tailor the procedure to each patient’s unique needs, delivering natural-looking results.


But before approaching Transconjunctival Lower Eyelid Blepharoplasty;

Understanding the Anatomy of the Lower Eyelid

Before delving into the intricacies of transconjunctival lower eyelid blepharoplasty, it is essential to understand the anatomy of the lower eyelid. The lower eyelid is a delicate structure comprising skin, muscle, fat pads, and the orbicularis oculi muscle responsible for eyelid closure. With aging, the skin loses elasticity, and the fat pads may protrude, leading to the formation of under-eye bags and wrinkles.

The transconjunctival approach targets the fat deposits underneath the lower eyelid, addressing puffiness and sagging skin without external scarring. By precisely sculpting the lower eyelid contours, this technique aims to create a harmonious and youthful appearance while preserving the natural structures of the eye area.

Traditional Lower Eyelid surgery vs. Transconjunctival Approach


Traditional lower eyelid blepharoplasty : Involves surgeon making exterior incisions beneath the eyelashes to access and alter the underlying tissues. While effective, this method may cause visible scarring and longer recovery durations.


In contrast, transconjunctival lower eyelid blepharoplasty : Includes making incisions on the lower eyelid’s inner lining, resulting in no outward scars and a faster healing period.


Here is the key differences between Traditional and Transconjunctival lower eyelid surgery approaches



Traditional Lower Eyelid SurgeryTransconjunctival Lower Eyelid Surgery
Incision LocationExternal, below the lower eyelashes (subciliary)Internal, inside the lower eyelid (conjunctiva)
ScarringVisible scar below the eyelashesNo visible external scar
Access to Fat PadsDirect access through external incisionAccess through the conjunctiva
Muscle DisruptionMore likely to disrupt the orbicularis muscleLess likely to disrupt the orbicularis muscle
Skin RemovalAllows for skin removal if neededDoes not allow for skin removal
Healing TimeTypically longer due to external incisionGenerally shorter due to less invasive approach
Swelling and BruisingPotentially more due to external incisionTypically less due to internal incision
Ideal CandidatesPatients needing significant skin removalPatients with fat bulges but good skin tone
SuitabilitySuitable for older patients with significant skin laxitySuitable for younger patients with good skin elasticity but with fat bulges
ComplexityPotentially more complex due to multiple structures involvedLess complex, as it avoids muscle and skin manipulation



Benefits and Advantages of Transconjunctival Lower Eyelid Blepharoplasty

Transconjunctival lower eyelid blepharoplasty offers a range of benefits that set it apart from traditional approaches.

  • One of the main benefits is its ability to target fat pads and extra tissue by a minimally invasive operation, so producing smoother and more youthful-looking lower eyelids;
  • also, by preserving the integrity of the orbicularis oculi muscle, this technique helps ensure appropriate eyelid function following surgery.

Furthermore, the absence of external incisions reduces the risk of complications such as

  • scarring,
  • infection, and
  • prolonged healing,

Transconjunctival lower eyelid blepharoplasty a safer and more appealing option for patients seeking eyelid rejuvenation.

Preparing Before the Surgery

Before undergoing transconjunctival lower eyelid blepharoplasty, Dr. Chugh advised all the patients who were approaching him for surgery to schedule a comprehensive consultation for eyelid surgery.


During the consultation, Dr. Chugh will assess the patient’s eyelid anatomy, discuss their aesthetic goals, and explain the surgical technique in detail.


He also advised to patients,

  • Avoid smoking and alcohol before and after surgery.
  • Avoid drugs that can cause bleeding before the procedure.
  • Patients should make arrangements for a responsible adult to drive them home following surgery and assist with post-operative care.

Following the surgeon’s pre-operative instructions diligently can help ensure a smooth and successful surgical experience.

The Surgical Technique of Transconjunctival Lower Eyelid Blepharoplasty

During the Surgery


Transconjunctival lower eyelid blepharoplasty is done under local anaesthesia with sedation or general anaesthesia, depending on the patient’s comfort level and the scope of the treatment.

To retain aesthetic integrity, the surgeon begins by making small incisions on the inside of the lower eyelid, taking care not to cut the eyelashes. The surgeon uses these incisions to access the fat pads and extra tissue, which are then sculpted or moved to create a smooth lower eyelid contour.

Once the necessary repairs have been performed, the incisions are precisely closed with dissolvable sutures, leaving no obvious external scarring. The complete procedure usually takes between one and two hours, depending on the complexity of the situation.

After the Surgery?

Patients should expect minimal discomfort during surgery, and the surgical team will continuously monitor them to ensure a safe and satisfactory outcome.

Aftercare Instructions for Recovery


Patients who have undergone transconjunctival lower eyelid blepharoplasty should rest with their heads elevated to decrease edoema and enhance recovery.

  • Upper and lower Blepharoplasty
    Results : Upper and Lower Blepharoplasty – One month postop,58 year old female

    Chugh recommends that certain patients gently apply cold compresses to the eyes to alleviate discomfort and minimise bruising.

  • Some patients experience mild swelling and bruising, which gradually subsides over the following weeks.
  • It is essential to follow the surgeon’s post-operative instructions diligently, which may include using prescribed eye drops, avoiding strenuous activities, and attending follow-up appointments for monitoring progress.

In some cases, individual recovery times may differ, most patients can return to normal daily activities within a week or two of surgery, with final results becoming obvious as swelling subsides.


Risks and Complications

Although transconjunctival lower eyelid blepharoplasty is considered a safe and effective procedure, like any surgical intervention, it carries a degree of risk. Potential risks and complications may include

  • Temporary eyelid swelling,
  • Bruising,
  • Dry eyes, and
  • In rare cases, more severe complications such as infection, hematoma (collection of blood), or changes in eyelid position may occur.

It is always advisable from Dr Chugh, To minimize the risk of complications, it is crucial to choose a skilled and experienced plastic surgeon who specializes in eyelid surgery and follows stringent safety protocols.

By adhering to the surgeon’s pre and post-operative guidelines and attending scheduled follow-up appointments, patients can help mitigate potential risks and achieve optimal outcomes.

Make a list of questions about transconjunctival lower eyelid blepharoplasty before visiting us.


  • Am I a suitable candidate for transconjunctival lower eyelid blepharoplasty?
  • How long do the results of transconjunctival lower eyelid blepharoplasty last?
  • Are there non-surgical alternatives to transconjunctival lower eyelid blepharoplasty?
  • What’s the cost of transconjunctival lower eyelid blepharoplasty?

The cost can vary based on factors such as the

  1. surgeon’s expertise,
  2. geographic location,
  3. facility fees, and
  4. anesthesia expenses.

Conclusion: Is Transconjunctival Lower Eyelid Blepharoplasty Right for You


To summarise, transconjunctival lower eyelid blepharoplasty is a significant improvement in cosmetic surgery, providing patients with a safe, effective, and less invasive treatment to lower eyelid issues.

Individuals can make more informed judgements about eyelid rejuvenation if they understand the advantages, risks, and recovery process.