Upper Bleph Without Fat Removal? (photo)

In fact, the new style upper blepharoplasty only remove skin and not fat, because as you suggest, removing fat can make the eye area more hollow and appear more aged.  In fact, fat transfer and filler injections around eyes and face has become common.  See an oculoplastic surgeon.

The quick answer is yes, the procedure is commonly performed without fat removal. Your concern is easily treated. You can see from the answers that you have multiple other ancillary procedures suggested for you. Find a surgeon you can have an open discussion with and to review your options and expectations. Good luck.

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.

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. 

Yes bleharoplasty can be performed without removing fat. Your picture demonstrates you would brnefit with a small amount of fat reduction medially. This is the art of eyelid surgery. 

Yes this can be done. But you also need to have less skin removal if u do not want a big change. 

The answer to your specific question is Yes. An upper blepharoplasty can be performed without removing fat and without dramatically changing your appearance. However, judging by the single photo you've submitted part of your upper eyelid issue likely result from drooping eyebrows. Comprehensive treatment of your eyelid concerns might also warrant lifting of your eyebrows at the same time. This, too, can be performed without a dramatic change in your appearance and with natural looking results. I hope this information is helpful.Stephen Weber MD, FACS

Yes, it is always possible to do less surgery, including skin removal without fat transposition or removal.  Our reality as surgeons however, is the confrontation of patients for whom we've flawlessly performed the requested procedure, yet, because of their lack of aesthetic understanding, they remain unhappy.  Responsibility for this situation is always attributed by patient to surgeon.  Removal of skin only with tarsal fixation of your new orbitopalpebral crease may provide a result with which you'll be happy, but will not correct the problem causing your extra upper eyelid skin, namely, significant brow ptosis.

 

The best approach is for patients, in my opinion, is to present with your complaint, and allow the surgeon to make the diagnosis, present you with alternative treatment possibilities, expected results, possible complications, and on this basis, proceed to treatment.

Dear Groovy.  Blepharoplasty is commonly performed without fat removal.  Over the years the surgical trends have changed to remove less (if any) fat in both the upper and lower eyelids.  Often only skin or skin and muscle is removed without fat excision.   In general when fat is removed from the upper eyelids it is most commonly the medial, or closest to the nose, fat pocket.  This may be a consideration in your case but something you can discuss with your plastic surgeon.  Hope that helps.

 

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.