, Hello, my name is Ashton and I am a healthy 20 year old male. I’ve always been annoyed with my puffy lower eyelids and the bulginess look. Another surgeon recommended a transconjunctival lower blepharoplasty to remove the fat and bulge. I would love to get a community opinion on this and what would be a safe route to reduce that bulge and puff on the lower eyelid (specifically the obicularis oculi muscle)