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. By means of transconjunctival blepharoplasty, Oculoplastic surgeon Dr. Amiya Prasad is able to remove excess fat, sculpt and reduce these fat deposits internally, without producing any outside scars and preserving the natural shape of the eye.

Transconjunctival Blepharoplasty Before and After

before transconjunctival blepharoplasty female patient
after transconjunctival blepharoplasty results female patient

This 53-year old African-American female was accustomed to always looking young for her age. She realized that at this stage in her life she was wearing more makeup to hide rather than to enhance 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. After having the surgery she was so pleased with her results that she got colored contact lenses to draw more attention to her eyes.


Dr. Amiya Prasad’s Lower Blepharoplasty Procedure

“True artists work with a myriad of pigments, blending a wide variety on a palette that is highly individualized, unique to each artist. Only a skilled portrait painter can effectively capture the brilliancy, transparency and wide variables that reflect the subject’s skin tone. The same can be said of a skilled surgeon; each identifies which technique will best rejuvenate a patient’s eyes.” Dr. Amiya Prasad, The Fine Art of Looking Younger

It is important to note that there is no single technique or treatment approach that can be applied to everyone, while consistently yielding the best results. According to Dr. Prasad, ”I have found that true artistry comes from mastering the various surgical options and then deciding how to execute a particular technique so that the balance of the face is preserved.”

transconjunctival blepharoplasty before and 1 week after recovery. Surgery performed by NYC Doctor Amiya Prasad

The use of local anesthesia with LITE sedation ensures faster recovery time after eye bag removal and reduction.

Dr. Prasad performs transconjunctival blepharoplasty under local anesthesia, allowing a quicker healing time. During the surgery procedure, the lower eyelid is pulled away from the eye and swept with the laser. Along the length of the back-side of the eyelid, the fat tissue is destroyed. Because the eyelid is still intact on the outside, Dr. Prasad is able to accurately gauge and evaluate how much fat should be removed and what effect it has on the appearance of the eye as the surgery is in progress. In most cases, the skin under the eye will simply return to a more normal position after the procedure is done, but if need be, Dr. Prasad may also tighten any resulting loose eyelid skin after the fat is removed. This process does not usually require stitches, and downtime is minimal.

Transconjunctival Blepharoplasty Recovery When Performed by Oculofacial Plastic Surgeon Dr. Amiya Prasad


Advantages of  Lower Eyelid Transconjunctival Blepharoplasty

Transconjunctival blepharoplasty offers many advantages, one of these being that it allows you to enhance your natural appearance without the blatancy of surgery.

Other advantages to Dr. Prasad’s individualized technique for transconjunctival blepharoplasty include the following:

  •     Precise fat sculpting
  •     Minimal swelling and bruising
  •     No external scars
  •     Younger-looking eyes
  •     Minimal downtime
  •     Preservation of the natural shape of the eye
  •     Preservation of the middle layers of the eyelid
  •     No risk or trauma to the eye or the fragile support structures surround the eye


Dr. Amiya Prasad has been featured in several magazines and web sites focused on the unique needs of non-Caucasian cosmetic surgery patients, including World Journal and Chinese World TV. He has also made an appearance on Good Morning America wherein he demonstrated his surgical techniques and offered a commentary on the globalization of beauty.

For more information on transconjunctival blepharoplasty and Dr. Prasad’s general eyelid blepharoplasty procedure, visit our Eye Surgery Portfolio.

Find out why so many people are turning to Oculofacial plastic surgeon Dr. Amiya Prasad for ethnic eye plastic surgery. For more information about plastic surgery for African Americans or our other eyelift services, visit our FAQ page or feel free to contact us. We would be happy to answer any questions you.

Before making a decision, please consider having a personal evaluation with New York eyelid surgery specialist and Oculoplastic surgeon Dr. Amiya Prasad to determine what is the most appropriate procedure(s) for your specific case. Dr. Prasad has offices in New York City and Garden City (Long Island).

Transconjunctival Blepharoplasty Reviews

transconjunctival blepharoplasty reviews "My results have been astonishing, after 6 days my eyes looked amazing"
patient review "He removed the bags from under my eyes 28 years ago and they never came back"
lower blepharoplasty patient reviews "My eyes still look like mine and the bags are completely gone"
patient review "I'm very pleased with the outcome on my eyes."

Read more patient reviews

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