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Transconjunctival incision

The transconjunctival incision is performed in a lateromedial direction. It can be performed preseptally or retroseptally. The lower eyelid is everted to identify the position of the lower tarsal plate through the conjunctiva A transconjunctival incision is made with monopolar cautery at the base of the tarsus Transconjunctival Blepharoplasty Eyelid surgery, or blepharoplasty, consistently ranks as one of the most popular facial cosmetic surgery procedure in the United States. Transconjunctival blepharoplasty is a type of lower eyelid surgery, which is performed without any external incisions The transconjunctival incision uses an incision inside the lower eyelid. This hides any scars from observers, and results in a more natural look. Portions of the fat pad below the eye that are responsible for the puffy appearance are then removed through this hidden cut Inferior transconjunctival orbitotomy is a versatile technique that provides a scarless, minimally invasive, and safe approach to extra and intracorneal orbital tumors. A lower eyelid forniceal conjunctival incision, when combined with a lateral canthotomy and inferior cantholysis, provides a panoramic exposure of the inferior and lateral orbit

Transconjunctival blepharoplasty is a type of lower eyelid surgery. Historically surgeons used to open the lower eyelid through a skin and muscle incision (subciliary incision). That approach could impair the stability of the eyelid, with a risk of ectropion A transconjunctival blepharoplasty involves an incision on the inside of your eyelid and allows the surgeon to remove fat or reposition it. More often than not, with increasing age, the transconjunctival approach needs to add an external incision to remove excess skin or tighten the muscle. (Ankit Desai, MD, Jacksonville Plastic Surgeon The incision is performed using laser or radiofrequency at the inside layer of the eye (conjunctiva). Then blunt dissection is used to expose the fat that is either vaporized using laser or in certain cases repositioned The transconjunctival incision through the fornix seems to offer less risk for postoperative lid malposition and provides for the best exposure to the orbital fat. [ 2] Images depicting..

Transconjunctival approach with lateral skin extensio

  1. Along 8 years, 26 patients received in the emergency room diagnosed with pure isolated orbital floor fractures, all of them admitted to the maxillofacial surgery department and approached by transconjunctival incision without lateral canthotomy
  2. The main benefit of Transconjunctival Blepharoplasty over traditional Blepharoplasty with External Incision is that the support of the lower eyelid is maintained. External Eyelid Incision Blepharoplasty can damage the lower Eyelid support and result in a pull down or sag of the lower eyelid
  3. The use of the transconjunctival incision instead is an alternative in suitable patients. The records of 17 patients were reviewed in whom a transconjunctival incision was used during total maxillectomy. These included 13 in whom the Weber-Ferguson incision was used, and 4 who had a sublabial incision

The behind the eyelid approach or transconjunctival blepharoplasty: the incision is made through the mucous membrane on the back side of the eyelid called the conjunctival surface. This approach is primarily used for fat removal or repositioning and leaves no visible incision or scar on the front of the eyelid Transconjunctival blepharoplasty is done by making an incision inside, through the mucosa, while a transcutaneous blepharoplasty is performed through an incision in the skin. To decide which approach to use, I look at the individual patient and determine what they have going on with their eyes

thorough a cutaneous infralash incision (external) or internally through a transconjunctival approach.14,15 The conjunctival approach avoids a cutaneous incision and may decrease the risk of postoperative cicatricial retraction associated with external repair. The purpose of this work was to compare success, recurrence, an All patients had transconjunctival approaches with lateral canthal extensions, and six out of 53 patients also had an additional small (about less than 2 cm) gingivobuccal incision to achieve an accurate reduction. There were 3 minor complications, and the overall esthetics and functional results were satisfactory with a long term follow-up Introduction. Transconjunctival approaches encompass three main surgical routes, which can be used either independently or in combination: the inferior fornix transconjunctival incision, the lateral canthotomy/cantholysis, and the medial caruncular transconjunctival incision

The transconjunctival incision does not require any sutures. If an incision was made below the lashes for a skin pinch, then absorbable sutures are used. The vision remains intact since no patch is necessary. Eye makeup may be worn following incision healing Conclusions: The transconjunctival approach with a lateral paracanthal incision is an alternative approach to the orbital wall Transconjunctival incisions are used in cases of orbitozygomatic trauma and elective lower eyelid blepharoplasty. Although this approach has reduced the rates of ectropion, there is a rare but reported incidence of entropion For the surgical approach, a transconjunctival incision and, instead of a lateral canthotomy, a superficial incision of the skin and subcutaneous tissue was used, preserving the lateral ligament. The results are compared with those of previous techniques, especially the subciliary incision

Lateral Retrocanthal Orbitotomy: A Minimally Invasive

Cataract surgery using upper and temporal 2.4-mm transconjunctival sclerocorneal incisions are clinically equivalent with regards to change in MRD1, and neither incision type caused critical postoperative ptosis. The longer preoperative MRD1 was significantly associated with the reduction of MRD1 after surgery Ptosis incidence following cataract surgery is reduced with a recently developed phacoemulsification technique using a small incision. However, it remains uncertain whether an upper transconjunctival sclerocorneal incision can cause minor blepharoptosis. In the present prospective study, patients underwent cataract surgery with either an upper or temporal 2.4-mm transconjunctival sclerocorneal.

Transconjunctival incision - American Academy of Ophthalmolog

The internal approach to lower eyelid blepharoplasty involves a fine incision made inside the skin of the lower eyelid (this is called a transconjunctival incision). Because the scars are inside the lower eyelid where they cannot be seen, this procedure is often called scarless blepharoplasty. This approach is appropriate for younger patients. The transconjunctival incision is then closed with interrupted 7-0 vicryl sutures. At the conclusion of the case, antibiotic ointment is place over the incision and in the eye. The patient returns in approximately one week for reevaluation. back to Oculoplastics video index

The internal approach to lower eyelid blepharoplasty involves a fine incision made inside the skin of the lower eyelid (this is called a transconjunctival incision). Because the scars are inside the lower eyelid where they cannot be seen, this procedure is often called scarless blepharoplasty. This approach is appropriate for younger patients. Transconjunctival blepharoplasty is a kind of plastic surgery that's usually performed on young patients to make the lower eyelid smoother. During the transconjunctival blepharoplasty procedure, a plastic surgeon makes an incision on the inside of a patient's lower eyelid Transconjunctival blepharoplasty: This is an advanced scarless technique that Dr. Zoumalan uses in many of his patients. The incision is carefully made inside the lower lid so that the skin is not directly cut and hence no visible scars. The transconjunctival approach allows for direct access to the prominent fat pockets

Blepharoplasty or Lower Eyelid Surgery: Risks & Recovery

Abstract 1. Transconjunctival blepharoplasty (TCB) is now a mainstream part of aesthetic eyelid rejuvenation. 2. It is a more complex and intricate procedure than its transcutaneous counterpart. 3. Surgery is performed from inside the eyelid and with limited exposure, so a detailed knowledge of eyelid anatomy and surgery is critical to success The transconjunctival Blepharoplasty incision, which is created along the inside of the patient's lower eyelid (the majority of patients will receive this incision). 2. The other incision used during a Lower Blepharoplasty is an incision that is placed externally, directly beneath the lower lashes Eyelid puffiness in the lower eyelids is caused primarily by excess fat and is usually corrected by a transconjunctival blepharoplasty. The incision in this procedure is made inside the lower eyelid and excess fatty material removed. Usually, no sutures are needed to close this kind of an incision The transconjunctival approach involves an initial incision around the bulbar conjunctiva and has the advantages of reduced orbital tissue loss and subsequent orbital sinking with time, less hemorrhaging intraoperatively, and a faster procedure time. This approach should not be used in a patient with a suspected or known intraocular infection

The fat pedicles are secured with percutaneous sutures or internal absorbable sutures. The suborbicularis oculi fat (SOOF) may be elevated and secured to the orbital rim periosteum with absorbable sutures via the transconjunctival incision. Similar to orbital fat repositioning, a SOOF lift aids in effacing the tear trough and infraorbital hollows Lower transconjunctival blepharoplasty is a wonderful procedure for the lower eyelid because it is very safe and protects the lower eyelid muscle.. It is fairly simple and works well to remove the fat bags of the lower eyelid. Transconjunctival means the incision to approach these fat bags is made on the inside of the eyelid Several anterior approaches through an eyelid crease incision, supraorbital or sub-brow incision are available to approach the anterior third of the orbit. 22 Transconjunctival Approaches The inferior transconjunctival approach 17, 23 is restricted to basal and medial intra- and extraconal tumors ( Fig. 51-3A and B) ( Table 51-2 )

Transconjunctival Blepharoplasty Eyelid surgery - New

A transconjunctival incision is made, inside the eyelid, through which the transposition of fat at the level of the dark circles is performed. If the herniated fat is not sufficient for transposition, the restoration of the volume at the level of the lower eyelid can be corrected by means of an Augmentation Blepharoplasty which consists in the. The transconjunctival incision initially developed by Bourguet in 1928 for cosmetic procedures, was utilized by Converse and Tessier for the treatment of fractures and congenital malformations . Transconjunctival incisons can be pre-septal or post-septal with the former more commonly used for treatment of fractures [3, 5] For a transconjunctival lower eyelid lift, the incision and resulting scar are completely hidden on the inside of the lower eyelid. For a subciliary lower eyelid lift, a small incision is made just below the eyelashes with a short extension into the natural skin crease at the corner of the eye, resulting in a well-concealed scar Then, the conjunctiva is incised 2-3 mm below the tarsus extending from the commissure to a point just lateral to the punctum, and the transconjunctival incision is connected to the lateral canthal incision (Fig. 1). In the lateral canthal area, the lower eyelid flap is pulled down by cutting the superficial lateral canthal tendon and inferior.

Along with the increase in the elderly population, the number of patients with age-related ptosis is also on the rise. Various surgical procedures for treatment of ptosis have been previously designed and reported [].The transconjunctival method places little burden on patients compared with transcutaneous ptosis surgery and involves low surgical invasiveness; thus, it is a simple surgical. Recently, transconjunctival sutureless vitrectomy Holland) was then inserted through the conjunctival incision and into the scleral tunnel using a specially designed blunt inserter. At the. If you had a transconjunctival blepharoplasty with the incision made inside of the eyelid, it is possible that the lump is a reaction to the ointment that was placed on your eye during surgery. The ointment can incite a foreign body reaction. The treatment is surgical excision and it is relatively simple Figure 1: External incisions Figure 2: Internal (transconjunctival) incision. Understanding the Surgery. In upper eyelid surgery, the surgeon first marks the individual lines and creases of the lids in order to keep the scars as invisible as possible along these natural folds. The incision is made, and excess fat is removed or repositioned, and. Transconjunctival blepharoplasty with midfacial tissue repositioning via a temporal incision (what we have designed and termed the hammock lift). In all of the above procedures, chemical peels, erbium or CO2 laser, broadband light therapy, or any other skin ablation modality may improve skin laxity, irregularities, wrinkles, and lesions

Transconjunctival Blepharoplasty Eyelid Lif

Surgery: Transconjunctival Orbitotomy: Tips and Tricks

What is Transconjunctival Blepharoplasty

Transconjunctival Lower Blepharoplasty Technique » Eyelid

A transconjunctival incision is then made with the needle tip cautery extending from the punctum medially to the lateral canthus laterally. Dissection is then carried out between the orbicularis muscle and orbital septum to the inferior orbital rim CONCLUSION: Placing the conjunctival incision for postseptal approach transconjunctival blepharoplasty 0.5 mm posterior to the most superior projection of clinically visible fat (with adjunctive globe retropulsion and lower eyelid infraplacement) accesses the postspetal space directly in 82% of cases Transconjunctival incision was first used in 1924 by Bourguet for inferior lid blepharoplasty [23]. Tessier and Converse in 1970s suggested this incision for management of facial trauma [24,.

No Scar Eyelid Surgery - EyelidSpecialist, Oculoplastic

Transconjunctival Approach Blepharoplasty: Background

  1. The transconjunctival incision is then closed with interrupted 7-0 vicryl sutures. At the conclusion of the case, antibiotic ointment is place over the incision and in the eye. The patient returns in approximately one week for reevaluation
  2. To compare two 23-gauge transconjunctival vitrectomy incision techniques, parallel and perpendicular to the alignment of scleral fibers, in terms of hypotony and postoperative intraocular pressure (IOP)
  3. The lower blepharoplasty is fraught with both transconjunctival incision and excess skin through a sub- functional and aesthetic complications such as eyelid ciliary skin flap alone. From January 2006 to June 2008, 80 malpositioning, dry eye, ocular irritation, blurred vision, lids in 40 patients were subjected to this operation
  4. A, Transconjunctival incision 2 to 3 mm from the inferior edge of the tarsus and cutting off the orbicularis-retaining ligament through a preseptal route. B, The orbital septum is opened at the arcus marginalis by cautery. C, The stump of the orbital septum and pedicled fat are advanced over the rim with multiple 5-0 polyglactin sutures
  5. This is a 56yo gentleman primarily concerned with the bags on his lower eyelids. A transconjunctival incision (inner eyelid) was made to extract fat and perform fat grafting in strategic areas to rejuvenate the lower eyelid. Pt is 1 year after his surgery
  6. The transconjunctival lower eyelid surgery is done behind the lower eyelid, does not require a skin incision but it does require the surgeon to work close to the eye surface. It is an approach that is comfortable to fellowship trained oculoplastic surgeons
  7. The transconjunctival approach was first described by Bourquet in 1924 and then modified by Tessier in 1973 for exposure of the orbital floor and maxilla for the treatment of facial trauma. This approach can be carried out either in a preseptal plane by separating the orbital septum from within the eyelid (preseptal approach) or posterior [

A lateral canthal incision of about 5 to 8 millimeters in length is marked along a skin crease. Using a radio frequency probe, a lateral canthal skin incision is made along the previously marked crease. Repair of an orbital floor fracture by the transconjunctival technique and the use of porous polyethylene implant, stabilized with. Transconjunctival Blepharoplasty. What is Transconjunctival Blepharoplasty? Transconjunctival blepharoplasty is a type of eye surgery often performed on people of ethnic backgrounds or with darker skin. It is used to remove the appearance of eye bags and loose skin under the eyes which occur due to excessive bulging fat deposits in the lower eyelids The transconjunctival incision is made through the fornix of conjunctiva, which is believed to reduce the visible cutaneous scarring. 2,3 The short incision and narrow lower conjunctival fornix requires the transconjunctival approach to be supplemented with a lateral canthotomy to increase exposure in 56% to 83% of the procedures, thus. Transconjunctival Incision: Once the lower lid is everted, the position of the lower tarsal plate through the conjunctiva is noted. Blunt-tipped pointed scissors are used to dissect through the small incision through the conjunctiva made during the lateral canthotomy, inferiorly toward the infraorbital rim

The authors report the modification of the transconjunctival approach, in which a lateral paracanthal incision is made along with division of the lateral tarsal plate but not at the lateral canthus. This was developed to overcome the complications of traditional lateral cantholysis.A retrospective chart review was performed for all patients who. Small-incision sutureless vitrectomy has become increasingly popular, but wound leaks still occur in some cases. This can lead to postoperative hypotony and may increase the risk of endophthalmitis. I have developed a new wound closure method using transconjunctival 6-0 plain gut suture fashioned.. Our practice specializes in an approach called the transconjunctival lower eyelid blepharoplasty. This approach does not use an external incision, rather an internal incision is made, fatty pockets are removed and contoured, and a chemical peel is applied to the external skin of the lower eyelid to remove fine lines and tighten the skin The transconjunctival approach can be combined with a lateral canthotomy for exposure of the orbital floor (see image below). {file33801}Initiate this approach with a curvilinear incision. 4-mm transconjunctival sclerocorneal incision, and the other with a temporal incision. We prespecified that an MRD1 difference of ≥0.5 mm between the pre- and post-surgical measurements indicated postoperative ptosis, which was a strict criterion. MRD1 was measured using digital photography, and we calculated the differenc

Pros and Cons of the Transconjunctival Retroseptal

Fat removal via internal incision or transconjunctival method is THE MOST REQUESTED PROCEDURE due to the permanent results achieved with minimal downtime. The cost for this procedure is $4500 with Dr. Lee and usually performed in our office surgical suites at no add'l cost- if there is a serious heart related condition, the surgery will have to. The healing of sclerotomies was significantly faster with fewer inflammatory cells for a 25-gauge transconjunctival sutureless incision than for a 20-gauge incision. 12, 13 1.6. Incision Although there are established techniques for the transconjunctival fornix approach [5], in our experience, [2]-performing a laser incision directly near the edge of the tarsus is more anatomically favorable. Otherwise, we recommend a very gentle incision with monopolar electrocautery to decrease bleeding. The lower eyelid i A transconjunctival incision, created on the inside of the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat. With this technique, no skin is removed. Dr. Atodaria, the 1st doctor to introduce many advanced techniques of hair restoration surgery to south Gujarat. Primarily an.

Lower Eyelid Surgery | Best Lower Blepharoplasty New YorkStep 5 Transconjunctival Incision - Temporalis Fascia

Transconjunctival vs

REWIND Incision Lower blepharoplasty can create a bright-looking eye shape and add a youthful feel to your image. As we age, the eyelids' skin becomes thin and the muscles around the eyes loosen. The skin under the eyes, which has lost elasticity, starts to become saggy with creases forming. The layer that covers the fat inside the skin. Over the last decade, lower transconjunctival blepharoplasty has become the method of choice used by facial plastic surgeons for the treatment of lower eyelid herniated fat owing to the reduced rate of complications and the hidden incision . The primary complications of the transcutaneous approach are lower lid retraction with scleral show, lower lid ectropion Recorded 01/01/2003 This DVD presents a middle-aged woman with prominent dermatochalasis of the upper lids, and steatoblepharon and skin excess of the lower lids. Dr. Adamson's current approach to upper lid blepharoplasty with fat excision is detailed. The lower eyelids are approached through a transconjunctival incision for fat removal and skin pinch for skin removal out fracture repair using transconjunctival incision. The lower eyelid was slightly displaced at 1 week post-surgery due to perior-bital swelling, but later returned to the original position. In this result, we found the statistical significance in the difference be-tween M 0 and M 2, but there was no meaningful finding in the other intervals

15: Isolated Zygoma and Zygomaticomaxillary Complex (ZMC

Transconjunctival incision for total maxillectomy—an

through an incision in the skin below the lashes (transcutaneous). through an incision along the inner surface of the Eyelids (transconjunctival). The introduction of the transconjunctival technique more than thirty years ago was an important step in the field of eyelid surgery Transconjunctival corneoscleral tunnel blue line cataract incision Kurt A. Buzard, MD, Jean-Luc Febbraro, MD ABSTRACT Purpose: To report the technique and astigmatic results of the blue line cataract incision. Setting: The Buzard Eye Institute, Las Vegas, Nevada, USA. Methods: This prospective study included 411 eyes of 271 patients who had cataract. The present authors present our experiences with a single transconjunctival incision and two-point (inferior orbital rim and frontozygomatic suture) fixation in 53 patients with zygomatic complex fracture which were not comminuted. All patients had transconjunctival approaches with lateral canthal extensions, and six out of 53 patients also had. The transconjunctival lower blepharoplasty is performed through an incision made behind the lower eyelid. Through this incision, the fat pads of the lower eyelid are approached and can be sculpted into shape to reduce the fullness of the lower eyelid. There are enormous advantages of this method popularized by oculoplastic surgeons

Upper Blepharoplasty - Eyelid Surgery Leeds - Skin SurgeryTransconjunctival Sub–Orbicularis Oculi Fat (SOOF) PadBlepharoplasty & Double Eyelid Surgery in Sydney | Dr

PURPOSE: To compare a transconjunctival single‐plane sclerocorneal incision with 2 tiny conjunctival cuts at both ends and a clear corneal incision (CCI) in cataract surgery. SETTING: Department of Ophthalmology, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan. METHODS: Patients having routine cataract surgery were randomly divided into 2 groups based on incision type. Transconjunctival Blepharoplasty Beauty Through Mastery Serving Miami, Boca Raton, Florida and surrounding areas. Tranconjunctival blepharoplasty is a minimally invasive cosmetic surgical procedure to remove lower eyelid bags. The technique involves an incision inside the lower eyelid, and there are no external skin incisions Interestingly, outcome by using internal (transconjunctival) incision or there was good agreement between two independent external (subcilliary) incision. Addressing the lateral can- masked observers (r ⫽ .76, P ⬍ .001, Pearson correla- thal laxity is an integral part of entropion surgery, and this tion, Figure 1) Purpose . To compare the final incision size and wound structure after the intraocular lens implantation from 2.0 mm transconjunctival single-plane sclerocorneal incision (TSSI) between the use of a motorized injector at first speed and the use of a manual injector. Methods . Patients were divided into three groups as follows: Group A, a manual injector, Group B, a motorized injector with 0.5.