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
Can Fat Near the Inner Eye Area Be Removed?
Doctor Answers 10
Yes, fat pockets can be removed
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.
Removing fat near inner eye
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.
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.
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Fat pad removal
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.
Blepharoplasty/eyelid lift may help
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
Removing fat is a routine part of most blepharoplasty or eyelid lift procedures
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 - www.ganchi.com
Sculpting of Lower Lid Fat Bag Prominence is a part of most lower Lid Blepharoplasty Procedures
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.
Dr. P. Aldea
Fat around the eyes
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.
Are we talking about fat in the upper inner corner?
Focal fat deposits can be addressed with eyelid surgery. Eyelid surgery is all about tailoring the surgery to your eye issues. For some the little knuckle of fat at the inner corner makes them feel old and addressing this with surgery is straight forward and can make a big difference.
Without looking at your photo, it sounds like you are referring to the eyelid fat pad in the medial upper eyelid, close to the nose. It can be removed. In fact, it is common to do that. It can be done under local anesthesia.