Internal tarsal fixation vs common blepharoplasty? (Photo)

Australian Dr. Bryan Mendelson uses tarsal fixation instead of removing excess skin and fat from the upper eyelids in order to create a correction and lift in the eyelid. He says this is to prevent skin stretching and instead give long lasting results. See here: https://bmendelson.com.au/eyelids/ Would this procedure, however, give the same striking results as common practice eyelid surgery (removal of skin and fat)? Mendelson does promote a slightly underdone but natural result?