Question 1

What is a lower lid transconjunctival laser-assisted blepharoplasty?

Accepted Answer

This advanced eyelid procedure improves the appearance of 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.

Question 2

What are the benefits of a transconjunctival laser approach?

Accepted Answer

No visible scars and no sutures — the incision is inside the eyelid, leaving no external marks. The wound generally self-seals in about 1 week. Reduced swelling & bruising due to laser technology. Faster healing compared to traditional techniques. Natural-looking results that preserve eyelid shape.

Question 3

Who is a good candidate for this procedure?

Accepted Answer

Ideal candidates have under-eye bags, puffiness, or fat pockets without excess skin, want a scar-free and minimally invasive solution, have good skin elasticity, and are in overall good health with realistic expectations.

Question 4

How long does the procedure take?

Accepted Answer

The procedure typically takes 45 to 90 minutes, depending on individual needs.

Question 5

Is the procedure painful?

Accepted Answer

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

Question 6

What is the recovery time?

Accepted Answer

Swelling and bruising usually subside within 7 to 10 days. Most patients resume normal activities within 5 to 7 days. Final results show gradual improvement over several weeks to months.

Question 7

Will there be visible scars?

Accepted Answer

No. The transconjunctival approach places the incision inside the lower eyelid, making it completely hidden.

Question 8

How long do results last?

Accepted Answer

Results are long-lasting, often for 10–15 years or more, depending on factors such as aging, skin care, and lifestyle habits.

Question 9

Are there risks or complications?

Accepted Answer

While rare, possible risks include temporary swelling, dryness, or irritation; mild asymmetry; and temporary blurry vision due to swelling. Dr. Rosh uses precise laser technology to minimize risks and enhance safety.

Question 10

Can this be combined with other procedures?

Accepted Answer

Yes, this procedure is often combined with skin resurfacing (laser or chemical peel) to improve fine lines and skin texture, filler or fat transfer to enhance volume and smooth hollow areas, and upper eyelid blepharoplasty for full eye rejuvenation.

Question 11

Will insurance cover this procedure?

Accepted Answer

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

Question 12

How do I schedule a consultation?

Accepted Answer

To learn if this procedure is right for you, schedule a consultation with Dr. Rosh by calling (813) 303-0123.

Lower Lid Transconjunctival Laser-Assisted Blepharoplasty

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