Fat under eye - options for removal? (Photo)

Providing this is a fat tissue, very likely lipoma (even without capsule), a very skillful board certified plastic or oculoplastic surgeon, could try to remove it through the incsion placed inside the lower eyelid. If that is impossible, external excision underneath eyelashes is acceptable and will leave minimal scar. In the same time a tear through deformity (groove) and small bags on to of it, can be improved by means of transconnjuctival lower blepharoplasty. Good luck.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Removal of fat can certainly be done with a transconjunctival lower blepharoplasty. During the surgery a small amount of fat will be removed and repositioned providing a better lid-cheek transition. If you want the best idea of what is possible for your eyes, do your due diligence, find an experienced surgeon, and have him/her evaluate you in person and discuss your options. @drdonyoo