How do I get rid of fat in both of my upper eyelids, close to the inside of eyes, not the outside. (photo)

The issue of puffy upper eyelids is best addressed with blepharoplasty. The fat is reduced leading to a more awake appearance. It is important to remove enough fat but not too much in order to prevent the undesireable hollowed-out appearance.

Thank you for your question Dave. What you describe is very common and happens as we age with varying degrees and varying rates in different people. Typically the upper eyelid skin tends to become loose at the rate of about 1mm per year starting in our early forties on average. On top of that the eyelid muscle becomes a little weaker as well and allows our orbital fat pads to prolapse forwards. You are describing the medial fat pad prolapsing.It would be very important for you to have a thorough examination by an experienced,  Board Certified Facial Plastic Surgeon to determine if a Blepharoplasty is the right treatment for you (very likely) or if you can get away with non-invasive modalities. In order to make that decision, a thorough exam is necessary of your eyelids and brow and the surgeon you choose, needs to be very experienced both in invasive and non-invasive modalities. Our patients heal very quickly from blepharoplasty and very seldomly  show any bruising. The stitches we perform are internal.  I hope this helps answer your question and look forward to being of assistance should you have any more queries  !Enjoy the beautiful weather in Gloucester this week, Sincerely, Dr. Anna Petropoulos, Danvers

The condition you are describing is very common and is mainly an inherited problem. The upper lid has two areas that the fat surrounding the eye can protrude, call the medial and the middle fat pads. This is genetic but also becomes more noticeable with age. This condition is easily corrected with a blepharoplasty in which some excess skin can be removed in addition to the fat pads. Consult with a experienced facial plastic surgeon.

Thank you for the question and included photos. Your problem is quite common. The area you are questioning has a fat pocket and probably for genetic and aging reasons has prolapsed forward. It can be removed during a blepharoplasty. Skin and underlying fat is excised during this procedure. The recovery time is about 2 weeks and results are usually excellent. You should select an experienced Oculoplastic Surgeon to meet for consultation.  

Hello. Thanks for your question. Changes in your upper eyelids can be related to a number of factors including recurrent allergies and muscular activity around the eye and forehead that results in fat herniation. Your appearance can be improved with an upper eyelid lift that includes skin and selective fat removal. Consult a BCPS. Good luck. Dr. B

 The upper eyelid has 2 compartments of fat in it.  The compartment of fat located closer to the inside of the eyelid is usually partially removed at the time of the blepharoplasty procedure. Excess skin is also removed with the upper blepharoplasty. For many examples and more information, please see the video and the link below

A blepharoplasty may help you but you need to be examined by an eyelid specialist. They can tell you what is best. 

I think that you are a good candidate for an upper lid blepharoplasty.  Conservative removal of medial upper lid fat sounds reasonable.

Thank you for your question. There are several fat pockets that are located around the eye. In the upper eyelid, there are two, a medial (located on the inner aspect) fat pad and a lateral (outer aspect) fat pad. Overtime, these fat pads can become more prominent due to various aging processes. Also, excess skin will contribute to this appearance. There are also several medical conditions (thyroid disease etc.) that can cause some of these issues. If you want to address this problem, first step is a consultation with a plastic surgeon to see which of these factors are contributing and what exactly can be done. Good luck!. 

What you are seeing are the typical changes of aging. Aging causes this. Upper blepharoplasty is the solution and is a standard procedure for plastic surgeons.