The Virginia Institute for Surgical Arts Blog

Transconjunctival Lower Eyelid Surgery | Chantilly | Northern VirginiaFormation of under eye bags can occur in many people with age. Even young adults may suffer from this condition if they are genetically predisposed. The eye bags can cause the appearance of puffiness in the eyes, which can make the face look tired or old. Puffy eye bags are typically caused due to naturally occurring fat deposits around the eyes, which create an unsightly bulge.

Transconjunctival blepharoplasty of the lower eyelids is a procedure designed to reduce the impact of eye bags which have herniated forward. The procedure is performed from within the eyelid, which leaves no external scarring. Dr. V is a board certified facial plastic surgeon providing this procedure to patients in Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and surrounding locations.



Transconjunctival lower eyelid surgery can rejuvenate the eyes with sustainable results. The procedure must be customized according to the unique situation of a patient in order to achieve optimal benefits. As compared to traditional lower blepharoplasty, the advantages with a transconjunctival incision are:

  • No external scarring
  • Less invasive surgery and less trauma around the eyes
  • Shape of the eye is preserved better
  • Less bruising and swelling and reduced downtime
  • Lower risk of complications


Appropriate Candidates

Individuals above the age of 18, who are in good general health, and bothered by the appearance of puffy under eye bags may be good candidates for this procedure. The candidate should have a fair amount of skin elasticity intact in the lower eyelids for transconjunctival blepharoplasty.



Any surgery involving the eyes is an intricate procedure, and should only be performed by a fully trained facial plastic surgeon. The right support to the area must be maintained and the shape of the eye should not change. The surgeon will approach the lower eyelid from the inside and create a tiny incision to sculpt fat pockets and reduce excess fat.

As the eyelid is not approached from the front or the skin side, the surgeon can gauge the effect of fat sculpting more precisely as the procedure is in progress. An experienced surgeon will assess the results throughout the surgery to ensure that the contour and shape of the eyes is created in a desirable manner.

Once the fat is removed, the surgeon may also tighten any loose skin if required. The procedure is usually performed using local anesthesia and IV sedation. Most patients can go home the same day after surgery, which can last for about two hours. Dr. V receives patients from Chantilly, Northern Virginia, Loudoun County, Fairfax, Prince William, Fauquier, Arlington, Middleburg, Leesburg, Manassas, Warrenton, and nearby areas.



Recovery in case of transconjunctival lower eyelid surgery is relatively faster as compared to traditional lower or upper eyelid surgery. Most patients will be in a position to resume their regular activities or return to work in about five to seven days. To gain relief from the mild soreness around the lower eyelids in the first few days, the patient may use ice packs.


For more infomation please contact Dr. V. Dr. Trang Thuy Vo-Nguyen, known to her patients as “Dr. V,” is a board certified facial plastic surgeon providing the latest surgical and non-surgical aesthetic procedures in Northern Virginia, Leesburg, Loudoun, Fairfax, Warrenton, Fauquier, Arlington, Manassas, Middleburg, Prince William, and other areas.

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