This term refers to the eyelid operation being performed thru an incision on the inside of the lower eyelid and leaves absolutely no scars on the surface. On the other hand, if there are a lot of lines, one need to perform a co2 laser resurfacing of the lid surface to get the very best result .
Each lower blepharoplasty procedure involves two components; the removal of fat bags and the tightening of the skin. The standard operation with an incision on the eyelid border takes care of both elements whereas the transconjunctival approach only removes the fat, hence the need for co2 laser tightening of the skin.