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Upper Bleph Without Fat Removal? (photo)

Hi, I am 62 and have droopy eyelids that really bother me. I want to get them done but don't want a big change and I don't want a round or sunken look. Is it possible to have the skin trimmed without the fat removal? Thank You

Doctor Answers (21)

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Blepharoplasty without fat removal


Blepharoplasty or eyelid lift is commonly performed without removing fat.  More recently, many surgeons have become more conservative in fat removal to avoid leaving patients with a hollowed appearance.  It is also common to have your own fat or fillers added to the eyelid area to restore loss of volume and give a more youthful appearance to the eyes.  Looking at your pictures, you appear to have a significant amount of excess skin on your upper eyelids and would benefit from a blepharoplasty with minimal fat removal.  From this picture, it also appears that your eyebrows have dropped, especially on the outer portion, which is contributing to the excess skin and hooding on your eyelids.   An eyebrow lift or forehead lift would also be a procedure to consider and discuss with your surgeon in an in person consultation.  

Fairfax Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Upper bleph without fat removal


It is certainly possible to undergo upper blepharoplasty for just skin removal.  Fat does not have to be removed from the upper eyelids.  The skin only upper blepharoplasty procedure can be performed under either a local or general anesthesia depending upon the patient’s needs, wishes, and desires.  If there is a large amount of visual field loss, medically related blepharoplasty can be considered and sent to the patient’s insurance for coverage.

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Seattle Facial Plastic Surgeon
5.0 out of 5 stars 52 reviews

Keep your natural look


Keeping the fat in your lids can give a more natural look in some patients. If you like the fullnees of you upper lids and many do, then just have the skin and muscle reshaped for a more youthfull appearence.

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Vancouver Facial Plastic Surgeon
5.0 out of 5 stars 48 reviews

No fat removal


Many surgeons avoid fat removal at your age. It can make your eyes look too hollow. 

Boston Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

Upper Bleph Without Fat Removal?


Absolutely! Seek in person evaluations with only boarded surgeons in your city. fee range from $1800 to $2500. Good luck. 

Miami Plastic Surgeon
4.5 out of 5 stars 55 reviews

Upper Blepharoplasty Options


Yes, it is quite possible to have an upper blepharoplasty without fat removal. In fact, I rarely remove any fat from the upper lids unless there is a significant excess amount medially. This prevents the sunken, skeletonized look of many older techniques. Unfortunately, you need more than an upper blepharoplasty. Your lateral brow has fallen and the majority of your problem is your brow that is pushing down into the eyelid area. Only an examination will determine what you need. Occasionally all you will need is a brow lift of some kind. At other times, you will need both a brow lift and some skin and, maybe, some fat medially removed to correct the problem. When done by someone skilled with this type surgery you will have a very natural result. See someone experienced with periorbital rejuvenation and discuss your desires after a complete examination. Whatever is done will also correct a lot of the lines around your eyes. However, since yours are more than average for someone your age, you may also wish to start a good skin care system to try and reverse the solar skin damage in addition to the other changes that are the result of gravity.

Highlands Plastic Surgeon

Upper blepharoplasty is possible without fat removal




It is possible to perform an upper blepharoplasty without fat removal.  In fact, i do that on many patients depending on their individual anatomic needs.  If you have no excess fat herniation, then it is not necessary to remove it.



Dr Tachmes

Miami Beach Plastic Surgery Center and Medspa

Lincoln Road at Meridian Ave

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Miami Beach Plastic Surgeon
5.0 out of 5 stars 33 reviews

Upper Bleph Without Fat Removal?


 Yes an upper Blepharoplasty (eyelid surgery) can be done removing excess upper eyelid skin alone while preserving the muscle and fat.  It should be noted that your eyebriows are very low and if the complete amount of upper eyelid skin were to be removed, these would drop further (lower) as the incisions were a conservative amount of skin should be removed in this scenario in order to avoid brow drop IMHO.  Hope this helps.

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Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews



Yes, blepharoplasty can be performed without fat removal.  From your photos, I would also recommend a brow lift to correct the downward tilt of your brows.  These procedures can be done safely in the office setting without the need for general anesthesia. 

Web reference:

Fort Lauderdale Plastic Surgeon
5.0 out of 5 stars 23 reviews

Upper Blepharoplasty Without Fat Removal


The vast majority of upper eyelid/blepharoplasty procedures are done without the removal of fat. And at your age of 62 years old, fat removal should not be needed anyway. Just make you and your surgeon are on the same page about what will be done with your blepharoplasty.  

Web reference:

Indianapolis Plastic Surgeon
5.0 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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