Currently in lower blepharoplasty, the transconjunctival approach indication has been limited to\nyoung patients without skin excess and prominence of bags; in our practice this access has become\nthe preferred technique in most of our cases because it is simpler, faster, prevents bad scarring,\nproduces less orbicularis muscle trauma, and decreases postoperative edema and possible retractions\n(ectropion) in patients with decreased lower palpebral tone. Objective: To identify important\nconcepts when deciding this approach. Material and Methods: Retrospective review of 177\npatients who underwent lower blepharoplasty by a single surgical group. Regarding techniques,\nthe transconjunctival approach was selected in 42% of patients while the transcutaneous technique\nwas preferred in 58%. Results: A lower rate of complications was observed by the transconjunctival\napproach, with greater patient satisfaction. Conclusions: In our experience, due to\nits simplicity and less traumatic effect on the patient, the transconjunctival approach is an ideal\ntechnique, except in cases where there is lower eyelid weakness and surgical resolution is needed.
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