Transconjunctival Lower Blepharoplasty has no chance of Lower Eyelid Retraction

Lower eyelid retraction is an unusual expose of “white” of the eyeball by pulling down the lid. Scar-related retraction in internal lower eyelid is a complication in usual blepharoplasty. The risk of this internal complication can be eliminated with transconjunctival lower blepharoplasty by trimming bagging orbital fat. This operation doesn’t harm the delicate and important middle layer of eyelid, so the deep scarring by contracture does not produce after a years of operation.
If transconjunctival blepharoplasty procedure is used for fat repositioning in cheek hollow, cheek implant or tear trough placement then extended dissection is required. In such case, there would be a little risk of internal scar-related retraction. There can be other reason also for lower eyelid retraction other than lid scarring. If excess orbital fat is removed from lower eyelid, the support to lower eyelid may lose and crumple downward into hollow.