Fat Bags (Transconjunctival Bleph)

Transconjunctival Blepharoplasty in Cape Town: A Gentle Fix for Puffy Lower Lids

If you’re tired of looking… well, tired — even after a full night’s sleep—you’re not alone. Those under-eye bags that just won’t budge are usually caused by fat pads pushing forward under the skin. The good news? There’s a scar-free, subtle solution that doesn’t require a big recovery: transconjunctival blepharoplasty (yes, it’s a mouthful — but we promise the results are worth it).

This gentle lower eyelid surgery removes or repositions excess fat from the inside of the eyelid, meaning no external scars and no disruption to your natural eyelid shape. It’s a popular option in Cape Town for patients looking to refresh their under-eye area without anyone quite knowing how.

This procedure is ideal if

• You have fat bulges or puffiness under your eyes
• Your skin is still elastic and firm (often the case for younger patients)
• You’d love a scar-free result
• You’ve had previous eyelid surgery and need a subtle touch-up
• You want a refreshed look, without needing skin removed or tightened

How it works (in simple terms)

It’s a quick and gentle procedure, usually done under local anaesthetic, with the option to snooze through it if you’d rather not be awake (hello, sedation). Here’s what you can expect, step by step:

• Marking & planning – Your surgeon carefully maps out exactly where the under-eye fat is sitting, so you can feel settled and know exactly what’s going on, before we’ve even begun.
• Tiny incision – A small cut is made inside the lower eyelid, which means no stitches and no visible scarring. Nobody will ever know it happened — unless you tell them at your weekly dinner party.
• Fat repositioning – That puffiness? It’s either removed or gently reshaped to smooth the transition between your lower eyelid and cheek. The result is subtle, but powerful — less tired, more refreshed.
• Healing begins – Since everything happens from the inside, recovery tends to be smooth and speedy. Most people heal with no trace that they even had surgery — just brighter eyes and a rested look.

For those with a bit of skin looseness, we may recommend adding a laser or light peel to tighten things up and boost the result.

Why our patients love this option

• No visible scars
• Faster recovery than traditional eyelid surgery
• Lower risk of complications like eyelid turning outwards
• Natural-looking results that don’t scream “I had work done”

In short

Transconjunctival blepharoplasty is a smart, subtle fix for under-eye bags — and one of our go-to procedures for younger patients, or anyone who wants a refreshed look without the fuss. If you’re considering eyelid surgery in Cape Town, this might be exactly the understated solution you’ve been hoping for.