What if Anything, Can I Do About the Fat Pockets Above my Eyes? (photo)

Ok, I asked this once, but I think I should have been more clearer. I have these fat pockets above both my eyelids. One fat pocket is smaller and less noticeable than the other, but they are both there. They definitely make my eyes look more closed than they should. If I slightly elevate the area where the fat pockets are its a huge difference. I am 20 yrs. old, is that too young for surgery? What are the other alternatives? Would I need orbital decompression surgery?

Doctor Answers 10

Fullness in upper eyelids: what can be done

Fullness in upper eyelids: what can be done
An exam to see if this is fat or gland would help.  You have deep set eyes. Another consideration is lowering the fold unless you like the deep set appearance

Orange County Plastic Surgeon
5.0 out of 5 stars 90 reviews

Fat removal with blepharoplasty

Thank you for sharing your question. Many young people are bothered by the extra fat in their upper or lower eyelids. After 20 years old it is reasonable to have a blepharoplasty performed. This is the removal of excess fat and skin from the eyelid. It has about a 2 week recovery time and usually yields excellent results. I hope this helps you and others with similar questions.

Outide corner or inside corner?

If its the inside corner, then fat may be the issue, if its the outside corner, it likely is the lacrimal [tear] gland that is prolapsing for the orbit [eye socket].

This is not unsual in African-American patients, as their orbits are a bit shallower and their eyes are often a bit more prominent.

This can be addressed surgically but resuspending the gland. Although there are many experience surgeons that can provide this expertise, ASOPRS trained Oculoplastics surgeons may have the most experience.

You can find one close to you on the ASOPRS dot org website.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 30 reviews

Removing fat pockets on the upper eyelids...

Fat pockets within the upper eyelids can be reduced by simply placing incisions in the crease of each eye and surgically decreasing the amount present.  When you have fullness on the outer part of the eyelid, it may represent a droopy lacrimal gland (the gland that produces tears).  This can be lifted up and sutured down during the same procedure.  This procedure is normally done under local anesthesia, but can be performed under general anesthesia as well.  Fine sutures are used to close the incisions.  The procedure takes about an hour, and you are able to go home the same day.  There is no age criterion - the anatomy dictates what needs to be done, but I would make a consultation with a board certified facial plastic, plastic, or oculoplastic surgeon to discuss all of your options. Good luck.

Andrew Miller, MD
Edison Facial Plastic Surgeon
4.8 out of 5 stars 169 reviews

Treating fat pockets above the eyes

Fat pockets located in the inner corners of the upper eyelids can be easily removed through a small incision in the eyelid crease.  Usually the fat pads are removed at the time of an upper blepharoplasty incisions are then closed with dissolvable sutures.  The goal of an upper blepharoplasty is to remove excess skin and medial fat pockets and is often performed under brief general anesthesia.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 121 reviews


I do not think your age alone would disqualify you from surgery. I thought you were pretty clear on your first post and this post does not change my answer to your first post. I don't see any need for orbital decompression.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon

Prolapsed lacrimal glands

What you are describing may or may not be your lacrimal glands. It is best to get a personal consult and examination by an oculoplastic surgeon.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.8 out of 5 stars 51 reviews

Fat pockets above eyes

Dear Mz Understood.  The fat pockets above your eyes are located towards the outer aspect and probably represent your tear producing glands (lacrimal glands).  These need to be repositioned behind the bone above the 'fat pockets' which  is accomplished by way of a standard upper eyelid incision.  You should arrange a consultation with your local plastic surgeon.  Good luck!

Joseph N. Togba, MD
Oakland Plastic Surgeon
4.6 out of 5 stars 17 reviews

You do not need an orbital decompression.

What you need is a consultation with a fellowship trained oculoplastic surgeon.  The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a geographic directory that will help you find a highly qualified surgeon in your area (asoprs dot org).

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
4.9 out of 5 stars 22 reviews

Upper eyelid surgery

unfortunately the photograph is taken both at a strange angle and with the upper part of the frame of the glasses covering the exact area you are asking about. try taking the picture straight on without the glasses and we will see if we can help.

Sherwood Baxt, MD
Paramus Plastic Surgeon
3.9 out of 5 stars 21 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.