Can Fat Near the Inner Eye Area Be Removed?

It seems like fat has "dropped" suddenly in my inner eye area. The area ends up looking puffy. In other posts, people talk about eyelid lift, but I don't know that this is the same thing. My problem is really not part of the eye lid, but rather area closest to the nose

Doctor Answers 12

Yes, fat pockets can be removed

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Yes, fat pockets can be removed depending upon where they are. Even on the eyeball they can sometimes be removed. For more information about eye surgery, visit my website.

New York Oculoplastic Surgeon
4.7 out of 5 stars 68 reviews

Removing fat near inner eye

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Yes, the inner eye fat can be removed when it droops causing the area to be puffy. It tends to become puffier with allergies, altitude, air pressure, hormonal changes, and the aging process.
There are three compartments of fat in the lower lid, but the biggest compartment is the medial one which tends to be showing the bags the most prominently. If the bags are the only issue that needs to be addressed, that can be done through a transconjunctival approach with an incision on the inside of the eyelid. If there is excess skin on patients usually over 50 years of age, then a small pinch technique can be performed right at the lash line. This is usually closed with either fine dissolvable sutures or tissue glue.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews


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There are three pockets of fat in the lower lid - one is right against the nose and the others are mid lid and then lateral. A well done lower lid blepharoplasty should take care of all three fat pockets.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 reviews

Fat pads and blepharoplasty

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Eyelid surgery, or blepharoplasty, is a beautiful procedure that yields excellent results and should be custom tailored in every aspect to your individual goals, needs, and anatomy. 

From your perspective as a patient, this surgery is very stealth with relatively simple recovery. From the standpoint of your surgeon this is a very intricate, detailed and fun surgery to perform where assessment and planning are everything!

Blepharoplasty has come a long way and become much more modern in recent years, focusing more on long-term results than just on taking away as much skin and fat as possible. This modern approach yields a much more natural look with much more satisfying long-term results. 

Blepharoplasty will address sagging skin, displaced, bulging fat and excess muscle. Occasionally areas around the eyes, like the eyebrows and sometimes even cheeks, need to be addressed to give a harmonious and comprehensive result.

There are non-surgical alternatives to blepharoplasty, including laser resurfacing, fillers, brow lifting and others, but which of those are applicable to you will be dependent, and a discussion with your surgeon can help delineate those options.

To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.

Cameron Chesnut #realself500 Physician

Cameron Chesnut, MD, FAAD, FACMS
Spokane Dermatologic Surgeon
4.9 out of 5 stars 123 reviews

Eyelid Surgery Corrects Inner Eye Fat

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It sounds like you may need some fat removal and perhaps some excess skin removed as well. You will need to be evaluated in person by a facial plastic surgeon who has expertise in blepharoplasty.  This would still be an eyelid lift procedure.  I hope this helps.

Fat pad removal

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It sounds like the fat you are describing is the medial fat pad near the nasojugal groove.  This can be treated by either a transconjunctival approach or through a standard lower lid procedure.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Blepharoplasty/eyelid lift may help

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The upper and lower eyelid areas have fat pads that can contribute to a puffy appearance.  The inner fat pads of the upper and lower eyelids sound like they may be an issue.  This is usually addressed with an eyelid lift by reducing the amount of fat in those areas.  Visit with a couple of board certified plastic surgeons

Dr. ES

Removing fat is a routine part of most blepharoplasty or eyelid lift procedures

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Most blepharoplasty procedures address pockets of fat.  Both the upper and lower eyelids have pockets of fat that are near the nose.  Both can be removed or reduced as part of a blepharoplasty procedure.  Depending on your specific anatomy, the procedure may even be done under local anesthesia.  Good luck!

Dr. Parham Ganchi - NJ Plastic Surgeon -

Parham Ganchi, PhD, MD
Wayne Plastic Surgeon
4.8 out of 5 stars 172 reviews

Sculpting of Lower Lid Fat Bag Prominence is a part of most lower Lid Blepharoplasty Procedures

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The excess bagginess / swelling along the lower lid close to the nose is most likely the result of the forward movement (in Medicalese - pseudo herniation) of the inner (medial) lower lid fat compartment. The lower lid has three distinctive fat compartments which are located under the front of the globe and are held in side the eye socket. With aging, the membrane holding the fat in relaxes and as the cheeks begin descending lower (creating the nose to mouth (Nasolabial) folds), the now looser lower lid fat pad become much more prominent.

Depending on your examination, lower lid skin excess (or not), muscle laxity (or not), lower lid looseness (or not), eye ball forward prominence (or not), various operations can be designed to deal with this (or these , if other fat compartments are pushing forward as well) prominence.

If you have no skin or muscle excess of the lower lid, the fat pads can be thinned / reduced and sculpted to be flush with the lower lid by going through a lower lid lining (Transconjunctival) incision. Alternatively, in some people the membrane keeping the fat is is divided allowing the fat to come out and fill / mask the hollowing seen along the Tear Trough.

The operation best for you would depend on your exam, your wishes and your surgeon.

Good Luck.

Dr. P. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon

Fat around the eyes

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Yes, there are two parts to belpharoplasty.  First, the excess fat is removed or repositioned.  Second, the excess skin is trimmed.  Occasionally, patient only need one or the other - fat removed or skin tightened.  That is why we customize the procedure to the individual patient.  I hope this is helpful.

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.