Can Fat Under Eyes be Removed Without Surgery?

To achieve best results, you should have a consultation with an eyelid surgeon to discuss the effectiveness of a nonsurgical approach. Only surgery can get rid of the hoods from the upper eyelids. The procedure can be performed within 45 minutes and appear healed in 2 weeks. If the fat bags in the lower eyelids are mild, then fillers can be used to augment the cheek volume and conceal the appearance of the bags. Fillers are relatively inexpensive, but will have to be repeated in about a year. I hope you find this helpful.

Thank you for your question about eye bags treatment.  Fillers are often an excellent choice for the treatment of the lower eye bag area, but filler only camouflage the appearance of these bags...and eventually surgical intervention may be necessary.  Filler cannot be used to minimize excess upper lid fat or skin. It is vital that you are seeing a seasoned professional for this area of the face.  If the filler is placed incorrectly it can make the prominent eye bags even worse.  The use of a cannula in this area can minimize bruising and the risk for vascular compromise.  
To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps. 

There are some non-surgical treatments that help with the appearance of fat bags.  These include some laser procedures or injectable fillers.  There is no substitute for surgery, however. Excess bags are often not caused by just fat alone.  They are often a result of some connective tissue of the lower orbit that weakens and causes normal fat to bulge.  Surgical manipulation of this membrane can help blend the appearance of this area and reduce the prominence of the eye bags, without appearing "sunken in"

So we cannot remove the fat without surgery. We can camouflage it though. This can be very successful with fillers and fat transfer. To tell you the truth the paradigm has shifted. We (as surgeons) are not removing as much fat as we once used to. This is because we have learned that 20 years down the road people end up with a hallow and aged look. 

So now even when we do surgery it is more of a re positioning of the fat than removal. With fat transfer we can camouflage this transition point. 

It is all about the balance of this transition from the orbit to the cheek. There are many ways to treat this and they vary by the underlying cause. I recommend seeing a surgeon who also does a lot of these treatments. This can make a big difference as most people have a combination of the above that lead to the issue.

Hope this helps.

Best of luck,

DrC

The bottom line is no. Typically in the upper lids we try to preserve as much fat as possible. The area near the nose often has a pea sized bit of fat we remove to prevent a bulge there The lower eyes can have a procedure to tighten the wall that has weakened (septum orbitale) to hold the fat back or a small amount of fat can be removed from the inside and the canthus (attachment to the orbital rim) tightened slightly and a pinch of skin removed from directly under the eyelashes leaving an imperceptible line. All can be done in the office with a touch of sedation.Dr. JA. Dean Jabs M.D., Ph.D.Board Certified Plastic SurgeonBethesda MD/McLean VA

Hi

Sorry bit there is no way to remove fat without surgery.  Some advocate heating the fat with a probe under the skin.. These results are not reliable and often disappointing.  Certainly, as stated above you can fill around the bag to camouflage it.

Best

 

Dr. Massry

Without photographs it is difficult to give you specific advice.  That being said, some cases of lower eyelid "bags" can be treated successfully with a combination of CO2 resurfacing (fractionated or complete) and restoration of the SOOF and Tear Trough volume.  Some patients will also benefit from a minimally invasive "pinch"  removal of skin and obicularis muscle under local anesthesia.

The only safe and reliable way to remove fat from the eyes is with surgery.  Unfortunately, there are many gimmicks advertised and promoted in the milieu of cosmetic surgery.  Any non-surgical treatment of periorbital fat is very unconventional and potentially very scary.

There is as of yet no predictable way to remove fat from the eyelids without surgery.  The operations are safe and dependable, so I'm not sure of the fascination with experimental methods which probably will have little benefit if perfected.

The cases of non-surgical ablation of this fat with radiofrequency that I have seen were not good. The amount of fat removed is hard to control so their is a risk of removing too much or too little and causing left right asymmetry.