The Preseptal and the Retroseptal Approaches in Transconjunctival Blepharoplasty

BACKGROUND: Although transconjunctival blepharoplasty was first described in the beginning of this century, it did not start to become popular until recently. OBJECTIVE: To describe the best approaches to transconjunctival blepharoplasty and their applications. CONCLUSIONS: There are two distinct approaches in this technique: the preseptal and the retroseptal. While not easier in execution, and at times it can be more difficult than the transcutaneous approach, the transconjunctival blepharoplasty has definite advantages. It belongs in the armamentarium of surgical procedures of all physicians performing cosmetic surgery.