Both procedures are lower eyelid lifts. Standard lower lid blepharoplasty entails making an incision on the outside with removal of skin and sometimes fat. In transconjunctival blepharoplasty, the incision is hidden on the inside and no skin is removed as this procedure is only for fat removal. Transconjunctival blepharoplasty is the most common type of lower eyelid performed by Dr. Mandal.