Transconjunctival Blepharoplasty – From Start to Finish

Under-eye bags can make a person look more tired, older, or sleep-deprived than they actually are. Transconjunctival blepharoplasty is one of the most advanced surgical techniques that offers a modern, scarless, and highly effective solution to this concern.
As Rovithomed Health Tourism Agency, based in Istanbul, we connect our patients with up-to-date, safe, and reliable approaches in periocular and facial aesthetics.
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What Does Transconjunctival Blepharoplasty Mean?
Transconjunctival blepharoplasty is a procedure in which the fat pads of the lower eyelid are removed or reshaped through an incision made on the inner surface of the eyelid (conjunctiva).
Thanks to this technique:
• No skin incision or sutures are made
• No visible scars are left externally
• The natural anatomy of the eye is preserved
Compared to traditional lower eyelid surgery, this method is more minimal, safer, and more comfortable.
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Who Is a Good Candidate?
This procedure is especially beneficial for individuals who:
• Have under-eye fat bags
• Have minimal skin excess
• Are in the young or middle-age group
• Desire a natural and scar-free result
Patients with good skin elasticity tend to achieve excellent outcomes.
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How Does the Surgical Process Work?
• The procedure takes approximately 1–1.5 hours
• Performed as a day surgery
• No hospital stay is required
• Patients are discharged the same day
Since the incision is made from the inner eyelid, no stitches need to be removed.
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Recovery Process and Return to Daily Life
One of the greatest advantages of this technique is the fast and comfortable recovery.
Will there be swelling or bruising? How long does it last?
• Mild swelling and bruising may occur
• Bruising usually becomes noticeable within the first 24 hours
• Cold compresses help reduce bruising
• Most patients can return to social activities the next day
• Significant improvement is typically seen within 5 days, though recovery varies individually
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Is Stitch Removal Required After Surgery?
No. Since there is no external incision, there are no external stitches.
The inner incision heals rapidly on its own, so even internal sutures are usually unnecessary. As a result, no stitch removal is required.
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If I Have Wrinkles, Will I Need an Additional Skin Pinch?
If skin laxity and wrinkles are significant, a very minimal incision along the lash line may be required.
However, if skin excess is mild to moderate, fractional laser treatments can be used to tighten the skin without any incision.
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What Is a Skin Pinch?
Skin pinch is the removal of a very thin layer of excess skin from the lower eyelid without entering the muscle layer or disturbing the eyelid’s support structures.
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Will There Be Hollowness After Removing Under-Eye Fat?
No. When performed with the correct technique, hollowness does not occur.
The goal of transconjunctival blepharoplasty is not to remove all fat, but to reposition it when necessary to preserve natural volume. This ensures a smooth under-eye contour without a sunken or tired appearance.
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Fat Grafting or Fat Repositioning – Which Is Better?
This depends on the patient’s individual needs:
• If fat pads are present but displaced → Fat reposition
The patient’s own fat is redistributed to fill hollowness naturally.
• If there is true volume loss or very thin skin → Fat graft (fat injection)
Fat taken from another area of the body is used to restore volume.
In most cases, fat reposition is the first choice, and fat grafting is added if needed. The goal is always to maintain natural fullness.
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Which Type of Anesthesia Is Used?
The most suitable options for this surgery are sedation or general anesthesia.
These methods ensure a comfortable, pain-free, and stress-free surgical experience.
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How Many Days Should I Stay in Istanbul?
• Arrival in Istanbul 1 day before surgery
• Surgery on the second day
• Post-operative check-up 2 days after surgery
• Return home the same evening
In total, a 4-day stay is sufficient.

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Rovithomed Perspective
Transconjunctival blepharoplasty is a refined, scarless option for refreshing the eye area with minimal downtime. When carefully planned and performed by experienced specialists, it delivers natural and long-lasting results.
At Rovithomed, we guide patients through every step — from expert surgeon coordination to travel planning and post-operative support.