Protruding fat on eyelid - could this be resolved with Plasma or do I need surgery? (photos)

The good news, you can do either it just depends on what result you want. The Plasma Pen is great for less dramatic results. Surgery is still surgery that delivers surgical results which can be drastic. I hope this helps. Thank you for your question. At the end of the day, always see an expert!

Based on your photo, I don't see prolapsed fat being a problem. You seem to have more of a crepey skin problem. An upper blepharoplasty would be a good option, or you could consider a chemical peel or laser resurfacing to improve the fine lines and wrinkles. A robust chemical peel would significantly tighten your skin.

From your photos it appears your situation is mild. You may want to look into AccuTite which can address delicate areas such as the under eye. Morpheus8 treatments can enhance your result as well as provide overall improvement of skin tone and texture.