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.

It is certainly possible to undergo upper blepharoplasty for just skin removal.  Fat does not have to be removed from the upper eyelids.  The skin only upper blepharoplasty procedure can be performed under either a local or general anesthesia depending upon the patient’s needs, wishes, and desires.  If there is a large amount of visual field loss, medically related blepharoplasty can be considered and sent to the patient’s insurance for coverage.

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.