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

Question

had blepharoplasty done years ago. However i have now Fat deposits in upper inner eyelid. Will there be a scar if removed? any pics of patients that have done that without doing blepharoplasty again?

Carey Nease, MD · Answer

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.

Mehryar (Ray) Taban, MD, FACS · Answer

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.

Kenneth D. Steinsapir, MD · Answer

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.

Mark Beaty, MD · Answer

Small pockets of upper lid fat can be successfully removed through a limited incision, usually reopening a portion of the previous blepharoplasty incision.  The recovery period is short.

Steven Wallach, MD · Answer

If you have residual fat pockets in the upper lid that had previously had a blepharoplasty, then you can have the fat removed through the same incision.

Lisa M. DiFrancesco, MD · Answer

Thank you for your question. It is possible to remove fat deposits from the upper eyelid through your previous scar.

Ralph M. Rosato, MD · Answer

This fat can be removed thru your old upper eyelid scar. There is no other way to treat it. The eyelid fat needs to be removed and carfefully cauterized to avoid excess bleeding.

Francis R. Palmer, III, MD (retired) · Answer

Yes, the fatty deposits can be removed.  The small incision that will be needed can be done through the oldscar from your previous blephroplasty.

George Commons, MD (retired) · Answer

Yes this can be removed.  The incision is small (1 cm) and the scar very much not a worry.  You old bleph scar is an example.   The area is injected and fat removed.    This should be a quite simple endeavor.  Yes it is okay  to just remove this fat.   My Best,  Dr C

Carl W. "Rick" Lentz III, MD (retired) · Answer

It is not unusual for patients to come in who have had a blephroplasty previously and have some residual fat deposits in the upper and even lower eye lids. It is quite easy to remove this extra fat bulge but it does require an incision. In the upper eye lid we would make the incision in the old scar. If there is no extra then there would be no need to remove any more skin. If there is a little extra skin it could be removed at the same time. With the lower lid I would do it through the inside of the lower lid, trans-conjunctival.

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

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