What are the benefits of a transconjunctival laser approach?

No visible scars and no sutures, reduced swelling & bruising, faster healing, and natural-looking results that preserve eyelid shape.

Who is a good candidate?

Ideal candidates have under-eye bags or puffiness without excess skin, want a scar-free solution, have good skin elasticity, and are in good health.

Is the procedure painful?

No. It is performed under IV anesthesia with sedation in the office, ensuring comfort. Some mild discomfort may be felt during healing.

What is the recovery time?

Swelling & bruising usually subside within 7–10 days. Most patients resume normal activities within 5–7 days.

How long do results last?

Results are long-lasting, often for 10–15 years or more.

Can this be combined with other procedures?

Yes — commonly combined with skin resurfacing and upper eyelid blepharoplasty.

Will insurance cover this?

Since it is a cosmetic procedure, it is typically not covered by insurance. Financing options may be available.

Lower Lid Blepharoplasty

Advanced transconjunctival laser-assisted lower eyelid surgery to remove under-eye bags with no visible scars — for a more rested, refreshed appearance.

Procedure Time

45–90 min

Results Last

10–15+ years

Scars

No visible scars

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Lower Lid Blepharoplasty

There are 3 fat pads in the lower orbit: medial, central, and lateral. They are located behind a thin fibrous layer called the orbital septum. With age, the septum thins and allows the fat to protrude.

Lower lid blepharoplasty removes these fat pads through a hidden transconjunctival incision on the posterior part of the eyelid. The fat does not return after it is removed.

The goal of this procedure is to not only unpack the bags but also give the face a more rested look while maintaining the unique shape of the eyelid.

How It Works

This advanced procedure improves under-eye bags and puffiness by removing or repositioning fat through a hidden incision inside the lower eyelid (transconjunctival approach). A laser is used for precision, minimizing bleeding, bruising, and downtime. Dr. Rosh usually includes lower lid CO2 resurfacing as part of the procedure.

Risks & Side Effects

About 80% of swelling decreases by month 1, and the residual 20% can take several months to resolve. There are no stitches to remove from the lower lid.

Real Results