Lower blepharoplasty refers to the procedure to improve the appearance of the lower eyelids. A transconjunctival blepharoplasty technique is when additional orbital fat is removed through a conjunctival – or inner eyelid – incision rather than through a skin incision. The transconjunctival technique is performed in younger individuals with good skin elasticity but bulging lower eyelids due to enlarged orbital fat pads. The transconjunctival approach also allows laser resurfacing of the lower eyelids in conjunction with orbital fat removal.