Upper Bleph Without Fat Removal? (photo)

In fact, the new style upper blepharoplasty only remove skin and not fat, because as you suggest, removing fat can make the eye area more hollow and appear more aged.  In fact, fat transfer and filler injections around eyes and face has become common.  See an oculoplastic surgeon.

The quick answer is yes, the procedure is commonly performed without fat removal. Your concern is easily treated. You can see from the answers that you have multiple other ancillary procedures suggested for you. Find a surgeon you can have an open discussion with and to review your options and expectations. Good luck.

Keeping the fat in your lids can give a more natural look in some patients. If you like the fullnees of you upper lids and many do, then just have the skin and muscle reshaped for a more youthfull appearence.

Yes, blepharoplasty can be performed without fat removal.  From your photos, I would also recommend a brow lift to correct the downward tilt of your brows.  These procedures can be done safely in the office setting without the need for general anesthesia. 

Yes bleharoplasty can be performed without removing fat. Your picture demonstrates you would brnefit with a small amount of fat reduction medially. This is the art of eyelid surgery. 

Yes this can be done. But you also need to have less skin removal if u do not want a big change.