Dr. Moran will tailor your procedure based on the quality of your skin and the telltale signs of aging you’d like addressed. The average lower eyelid surgery takes one to three hours to complete. When possible, Dr. Moran performs the procedure using an innovative technique called transconjunctival blepharoplasty, or TCB.
Instead of a skin incision, a small surgical incision is made inside the lower eyelid, usually with 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.
If you have significant excess skin and hypertrophic orbicularis muscle, you won’t be a candidate for TCB. Instead, Dr. Moran will make an external incision that is well-hidden within the natural crease of your lower eyelid. Once you’ve healed, the resulting scar will be virtually imperceptible.