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Fat Bags (Transconjunctival Bleph)

Transconjunctival Blepharoplasty in Cape Town: Overview, Indications, and Method

Introduction

Transconjunctival blepharoplasty is a minimally invasive surgical technique designed to rejuvenate the appearance of the lower eyelids. This popular cosmetic procedure, offered by leading oculoplastic surgeons in Cape Town, addresses concerns such as lower eyelid puffiness, fat prolapse, and mild skin laxity. By using a scar-free approach, this eyelid surgery ensures natural-looking results with minimal downtime, making it a preferred choice for patients seeking eyelid surgery in Cape Town.

Indications

Transconjunctival blepharoplasty is particularly suited for patients with:

  • Fat Prolapse: Bulging of the orbital fat pads causing puffiness or “bags” under the eyes.
  • Mild Skin Laxity: Patients with mild to moderate skin redundancy who may not require or wish to undergo skin excision.
  • Younger Patients: Often ideal for younger individuals with good skin elasticity and isolated fat bulges.
  • Avoidance of External Scarring: Those who desire a scar-free approach without visible external incisions.
  • Revision Surgery: Patients requiring corrections after previous lower eyelid surgery.

It is not suitable for individuals with significant skin excess, as the procedure does not allow direct skin excision. In these cases, a combined approach with transcutaneous techniques may be necessary. Patients in Cape Town considering cosmetic eyelid surgery should consult with an experienced oculoplastic surgeon to determine the most appropriate treatment plan for their specific needs.

Method

The blepharoplasty procedure is performed at specialized clinics in Cape Town, often under local anesthesia with sedation or general anesthesia, based on patient preferences. The process includes the following steps:

  • Preoperative Marking: The surgeon identifies the medial, central, and lateral fat pads for precise treatment, ensuring optimal results.
  • Incision: A small incision is made in the conjunctiva, avoiding external scars and maintaining a natural aesthetic appearance.
  • Fat Removal or Repositioning: Prolapsed fat is carefully removed or repositioned to smooth the transition between the lower eyelid and the cheek, addressing common concerns such as under-eye bags or hollows.
  • Hemostasis: Proper hemostasis is ensured to reduce the risk of complications such as bleeding or hematoma formation.
  • Closure: The conjunctival incision typically heals naturally without the need for sutures.

Patients undergoing transconjunctival blepharoplasty in Cape Town can also benefit from adjunctive treatments such as laser resurfacing or chemical peels to address mild skin laxity, further enhancing the rejuvenation effect.

Advantages

This procedure offers several advantages, making it a popular choice for cosmetic surgery in Cape Town:

  • A scar-free outcome, with no external incisions visible.
  • Minimal disruption to eyelid anatomy, reducing the risk of complications like ectropion.
  • A quicker recovery time compared to traditional transcutaneous blepharoplasty.
  • A natural, refreshed aesthetic result without over-correction.

Conclusion

Transconjunctival blepharoplasty is a sophisticated and effective option for individuals seeking lower eyelid rejuvenation in Cape Town. With its minimally invasive technique and tailored approach, this procedure offers exceptional results for patients with fat prolapse and minimal skin laxity. For those considering cosmetic procedures in Cape Town, this surgery ensures a refreshed and youthful appearance with minimal downtime, enhancing both aesthetic and functional outcomes.