Less invasive eyelid procedure to remove fatty tissue?

I have a layer of white fatty tissues bulging out of my eyelash bed underneath both eyes.

At the moment, it is mostly hidden behind my eyelashes but a line has formed underneath each eye below the fat bulges. I would like to correct this and pre-empt any further deterioration.

What treatments are suitable as I feel a full lower lid Blephroplasty may be overkill?

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8 answers to “Less invasive eyelid procedure to...”

A: Conservative treatments for fatty tissue in lower eyelids

William Portuese, MD

The most conservative treatment directed towards reducing the fat pads on the lower lids are to make sure that your thyroid hormones are within normal range and that you do not have thyroid disease. In addition, make sure any allergies are well-controlled and you are on a low-salt diet. Fatty tissues... more

A: Correcting eyelid bulges

Darrick E. Antell, MD

What you described could be small eyelid cysts as you mentioned they are just under the eyelashes. Fat pockets typically are lower down from the lash line than what you described.  In either case, this will not be likely to resolve without a procedure. You need to be examined by a surgeon who will... more

A: white fatty tissue of lower eyelid

Steven Wallach, MD

If you have small pockets of white fat on top of your skin, then this is Xanthelesmas which can easily be unroofed and the fat removed. If you have fatty bulges underneath the skin that are kind of showing through as a bulge, then a transconjunctival fat excision through the inner aspect of the eyelid hidden ,... more

A: Fat Bulges under Eyes Need Rhinoplasty

Tanveer Janjua, MD

Your lower eyelid fat needs to be removed. That is only accomplished through Blepharoplasty. Some newer methods involved sticking in a laser fiber and burning the fat. However, the safest method is to do a traditional blepharoplasty by either a transcutaneous approach (making a cut just below eyelashes) or... more

A: Transpinch lipectomy

Min S. Ahn, MD

The transconjunctival approach is effective and leaves no external incision but the incision on the back of the eyelid can be quite irritating for a week or so. It also, in and of itself, does not allow for removal of extra skin. I have developed a technique in which the skin just below the lashes is pinched... more

A: A less invasive procedure for under eye fullness

Michelle Copeland, MD, DMD

When all you have is puffiness around the eye, but no sagging, it's possible to reduce the puffiness without scars and with almost no downtime, using a subconjunctival blepharoplasty. With this procedure, fat is excised from inside the eyelid. Since the incision is out of sight the recovery is quicker then... more

A: It may be xanthelasma.

David C. Pearson, MD

A picture of your eyelids would really be helpful here, but what you're describing sounds a lot like a condition known as xanthelasma. Xanthelasma is not corrected with a lower blepharoplasty, but the unsightly blobs can often be easily treated in the office. The important point, though, is that a significant... more

A: Is it excess muscle or fat on lower eye area?

Michael C. Pickart, MD

Dear Jedder,Please post photos! It's hard to make an assessment without seeing pictures.The big question in my mind is whether this bulge represents fat or excess muscle.  If the protuberance is fat, the only good solution is lower eyelid blepharoplasty.However, if the bulge is a roll of muscle, then you... more

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