title: Transconjunctival approach in lower eyelid blepharoplasty.
abstract: OBJECTIVE
  To specify interest and indications of the transconjunctival approach in lower-eyelid plastic surgery.
  
  
  METHODS
  Twenty-three cases of inferior blepharoplasty performed through a transconjunctival approach are reported. The authors describe the surgical technique, its indications and results.
  
  
  RESULTS
  The transconjunctival approach provides excellent access to the inferior fatty chambers and is cutaneous scar free. It has a lower complication rate than the classic transcutaneous approach, and no case of cyclid retraction has been reported.
  
  
  CONCLUSIONS
  In our 'cosmetic society', the inferior blepharoplasty through a transconjunctival approach has taken a significant place in the armamentarium of the esthetic surgeon. Juvenile palpebral lipoptosis without skin excess constitutes the best indication for this technique. It is also indicated in secondary blepharoplasty and in patients presenting with a cicatricial risk or with orbital septum distention.
authors.affiliation: Department of Otolaryngology, Head and Neck surgery, La Timone University Hospital Center, 264, rue Saint-Pierre, F-13385 Marseille Cedex 05, France; ; Cabinet d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 4, boulevard de Pont de Vivaux, F-13010 Marseille, France;
authors.forename: D
authors.initials: D
authors.lastname: Korchia
authors.forename: F
authors.initials: F
authors.lastname: Braccini
authors.forename: J
authors.initials: J
authors.lastname: Paris
authors.forename: Jm
authors.initials: J
authors.lastname: Thomassin
keywords: Esthetic blepharoplasty; Transconjunctival approach