How is blepharoplasty different from under-eye fat repositioning

Under-eye fat repositioning is performed through the inside of the eyelid (transconjunctival approach) with no external incision — it redistributes fat but does not address skin laxity. Lower blepharoplasty may use an external incision to remove excess skin and tighten the lower lid. However, some lower blepharoplasty cases can also use a transconjunctival approach depending on the patient's anatomy. Your surgeon will determine the best method during consultation.