Procedures > Surgical > Transconjunctival Blepharoplasty

Surgical Procedures

Transconjunctival Blepharoplasty (TCB)

When possible, Dr. Moran performs a special lower eyelid surgery called transconjunctival blepharoplasty, or TCB. Instead of a skin incision, a small surgical incision is made inside the lower eyelid, usually with a electrocautery, to remove a portion of the fat pads. No stitches are required and patients have no visible scars. Unlike conventional blepharoplasty methods, TCB does not harm the muscles under the eyelids and there is a lower chance of lid pull-down.

Is it right for me?

If there is significant skin excess and hypertrophic orbicularis muscle are present, an external approach to lower blepharoplasty is indicated. If the excess skin is more modest and management of orbital fat is the primary goal, a transconjunctival approach may be a good option. 

Transconjunctival blepharoplasty is typically performed on younger patients with bulging fat and no extra skin.

Good candidates for cosmetic eyelid surgery are:

  • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
  • Non-smokers
  • Individuals with a positive outlook and specific goals in mind for blepharoplasty
  • Individuals without serious eye conditions

You must tell your doctor if you have any of these medical conditions:

  • Eye disease such as glaucoma, dry eye or a detached retina
  • Thyroid disorders such as Graves’ disease and under or overactive thyroid
  • Cardiovascular disease, high blood pressure or other circulatory disorders or diabetes

Where is it performed?

Eyelid is performed on an out-patient basis, at a nearby fully accredited outpatient surgery center.

Anesthesia and medication

This procedure is typically performed under local anesthesia with sedation.

Recovery period

Most patients recover well enough to return to the work and most normal activities, including vigorous exercise, in about 7 to 10 days.

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Now relocating her Woodside practice to Tennessee.