Transconjunctival Blepharoplasty – a Freshened Look (Without Signs of Surgery)
Eyelid surgery, or blepharoplasty, consistently ranks as one of the most popular facial cosmetic surgery procedure in the US. Its popularity can be attributed to the significant improvement in your appearance when the “tired” look is addressed:
- Transconjunctival blepharoplasty( lower eyelid surgery), is performed without any external incisions. When expertly executed, eyes look completely natural without any visible sign of surgery such as scars or an over-pulled look. Even an ophthalmologist would find it difficult to see the evidence of surgery when performing an eye exam.
- The cause of puffy eye bags is the naturally occurring fat pockets around the eyes pushing forwarded and creating a bulge (AKA lower eyelid fat prolapse, or herniated fat). Since these enlarged fat pockets are underneath the skin, they cannot be treated with topical treatments like creams, lotions, or ointments.
- While use of non-surgical fillers can temporarily treat select cases of puffy eyes through camouflaging the bulges of fat. These fillers are temporary and in many situations, the bruising from fillers may last longer than the minimal bruising seen in Dr. Prasad’s surgery. Fillers are often used by non surgical doctors which make eye bags appear even larger.
- The eyes convey emotion and non-verbal communication. Weary-looking eyes can often convey the wrong feeling or message.
- Remarks about looking tired, weary, and lacking energy are based primarily on the appearance of eyelid skin. Comments about “looking tired” even when well-rested is the most common complaint of patients inquiring about eyelid procedures.
- The problem of puffy or enlarged under eye bags is mainly a genetic issue, and often not age related. This means that younger patients, as early as in their teens, can be candidates for lower eyelid blepharoplasty, with transconjunctival blepharoplasty likely the most appropriate option. – When compared to other facial surgical procedures, eyelid surgery, especially lower eyelid surgery (lower blepharoplasty) is the among the quickest, least costly, and fastest healing procedures – even stitches are not required.
Enhance the Look of Your Eyes with Transconjunctival Laser
Transconjunctival blepharoplasty is a type of eyelift surgery often performed on people of ethnic backgrounds. It is used to remove the appearance of bags and loose skin under the eyes. These conditions are due to bulging fat deposits in the lower eyelids. Dr. Prasad uses transconjunctival laser blepharoplasty to remove, sculpt and reduce the fat. This procedure is internal, producing no outside scars and preserving the natural shape of the eye. This 53-year-old Latina lady was accustomed to always looking young forfce the appearance of her eyes. Frustrated with applying makeup to hide the bags under her eyes, she came to Dr. Prasad and underwent lower eyelid transconjunctival blepharoplasty. She appreciated Dr. Prasad’s familiarity with the concerns of African-American people in terms of scars and keloids.
Dr. Prasad’s Transconjunctival Blepharoplasty Procedure
Dr. Prasad performs transconjunctival blepharoplasty under local anesthesia with LITE IV sedation (twilight anesthesia), allowing a quicker recovery time. During the procedure, the lower eyelid is approached from the inside and the fat pockets are sculpted and repositioned. Dr. Prasad evaluates the results throughout the procedure to make sure that the shape and contour of the eyes are as desired. If needed, Dr. Prasad may also tighten any loose skin after the fat is removed. This process usually involves the use of lasers such as the fractional CO2 laser and does not usually require stitches, and downtime is minimal.
Cosmetic Oculoplastic/Oculofacial Plastic Surgeon – Super-Specialist and Artistry for the Eye Area
Dr. Amiya Prasad has the rare specialty among cosmetic surgeons titled as an oculoplastic/oculofacial surgeon. This super-specialty of being an Oculofacial surgeon (ophthalmic plastic and reconstructive surgeon) involves being trained as a facial cosmetic surgeon as well as an ophthalmologist. This expertise, along with Dr. Prasad’s artistic and natural aesthetic style, has made him a sought after eyelid specialist in New York and around the world.
Being an oculofacial plastic surgeon has also brought patients who had their eyelid surgery done elsewhere to Dr. Prasad for revision and correction. Patients who have had too much eyelid skin removed by other doctors, resulting in drooping eyes, or worse having eyelids with impaired function, come from all over the world to have their eyelids reconstructed by Dr. Prasad.
Local Anesthesia with LITE anesthesia for Faster Healing, Recovery, and Reduced Risk
Dr. Prasad is a pioneer in performing eyelid surgery such as transconjunctival blepharoplasty with local anesthesia with IV sedation. Using local anesthesia with IV sedation means that patients do not have to have general anesthesia. The advantage of this technique is that patients recover from surgery faster, shorten surgery time, have less bruising, and without the possible complications associated with general anesthesia (being unconscious and breathing through a respirator). Dr. Prasad trademarked his Quick Recovery technique using LITE™ IV sedation – a combination of local anesthesia with IV sedation to relax the patient during the procedure.
Transconjunctival Blepharoplasty for Older Patients
While most surgeons believe transconjunctival blepharoplasty is only appropriate for younger patients with no excess eyelid skin, it can also be appropriate for older patients. Older patients with large eye bags also fear that once fat is removed, the skin would droop and sag.
The orbicularis oculi muscle in the lower eyelid acts like a belt, and can tighten lower eyelid skin once fat has been removed. This muscle can be active in older patients – even when a considerable amount of fat has been removed, the orbicularis muscle can tighten the loose skin.