...only if there are fat pads / deposits, pockets of fat without excess of skin. See also discussion.

Transconjunctival Blepharoplasty

Used primarily for lower eyelid surgeries, transconjunctival blepharoplasty instantly approaches the deep plane and allows very precise adjustments to the orbital fat. For patients with good skin elasticity, a transconjunctival blepharoplasty is the only procedure needed for the successful removal of eye bags.

..the deeper layers that include the orbital fat (which can bulge and cause eye bags).

https://sorensenclinic.com/aesthetic-surgery/face/eyelid-sur...

Younger patients may only need fat removing from beneath the lower eye area. Such fatty deposits can be hereditary and can be removed from the inside of the lower lid, thus completely avoiding any external excisions. This advanced procedure is known as a transconjunctival blepharoplasty.

https://www.onehealthcare.co.uk/treatments/blepharoplasty-ey...

If you have a pocket of fat beneath your lower eyelids but don’t need to have any skin removed, we may recommend a transconjunctival blepharoplasty.

https://www.manchesterplasticsurgery.com/eyelid-surgery-blep...

Transconjunctival fat resection alone should be considered in younger patients who may have very little excess skin and whose skin may be resilient enough to tighten itself spontaneously postoperatively.

https://www.hindawi.com/journals/psi/2012/252368/

Nei pazienti giovani, che non presentano un eccesso di pelle, ma solo le borse sotto agli occhi, si può eseguire una tecnica transcongiuntivale, ovvero senza cicatrici cutanee esterne visibili.

http://www.maxillofaccialemilano.com/blefaroplastica.htm





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Note added at 6 hrs (2023-02-07 17:43:41 GMT)
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if there are only fat pads / deposits