Fat deposits in upper inner eyelid. Would I have a scar if I got them removed?

The small fat pads near the inner aspect of the upper eyelids can be easily removed through a very small incision in your existing upper blepharoplasty scar.  This can be done in the office with local anesthesia and recovery should be just a few days.

The fat alone can be removed through a stab incision without need for complete blepharoplasty.  Sometimes the fat is not the problem, but rather the area next to it undergoes aging with loss of fat, in which case filling that area may be an option. See an oculoplastic surgeon.

It is important to have a very careful consultation.  Occasionally we find what was thought to be upper eyelid fat is actually fullness from a heavy eyebrow and the best treatment is actually performing a forehead lift.  Seek several consultations and make you the surgeon you are considering has the right credentials and makes sense to you.