Is it possible to get upper Blepharoplasty without getting fat removal, just to remove a little amount of excess skin? (photo)

However, your problem is a bit more complex.  Your photograph is consistent with a small amount of right upper eyelid ptosis with hooding.  That means that you most likely have bilateral upper eyelid ptosis.  I suspect that if you had provide a wider shot that included the eyebrows, you are putting a bit more effort in lifting the left brow.  Generally what is needed is a very careful assessment to study the true eyelid position and a detailed assessment of ptosis and latent ptosis present in the eyelids.  I think that a thorough work up will reveal bilateral upper eyelid ptosis that is greater on the right and a compensatory brow lift that is greater on the left. The solution is likely to be a micro-blepharoplasty with an anchor procedures to make a hard crease.  The levator aponeurosis can be shortened at the same time.  I agree that you do not need any fat removed.  Less is more.   Less than one-tenth of one percent of the eyelid surgeons in the world will be able to provide the surgery you need.  Therefore, please be careful.

I certainly see the asymmetry you are referring to.  Upper lid asymmetry is not uncommon.  I actually think your asymmetry is minimal and you appear a bit on the young side to consider surgery.  Forget a brow lift without question and I would be reluctant to perform upper lid surgery as well.

From the pictures provided, it appears that one of the eyelids are slightly ptotic. and that might be the reason you raise the eyebrow on that side. the eyebrow position and eyelid position is very important in the way each person looks and how much excess skin appears to exist over each upper eyelids.

Yes, upper eyelid surgery (blepharoplasty) can be performed with just removal of skin. Fat does not always need to be reduced. Upper eyelid surgery may be performed via local aneshtesia too, if you and your surgeon prefer. Your plastic surgeon will tailor the cosmetic surgery to the needs of each patient's anatomy and personal goals. If you haven't already, then speak with a plastic surgeon to help discuss options with you.Best,Dr. Chaboki

Its pretty common to get just a little skin removed, and keep your fat pad intact. However it's tough to gauge how much of your hooding is from the eyebrow coming down and how much is just excessive skin. A wider shot of your whole eyelid complex including your upper cheek and forehead would be helpful. No matter what you choose perfect symmetry in any part if the face and body is extremely rare before AND after surgery.  Good luck! 

Upper blepharoplasty is a relatively simple procedure in the realm of plastic surgery. There are only a few options for the surgery technique. The best option is the one that you need based on your examination. From the photos, it does not appear that you have a lot of upper eyelid fat medially, so that part cat be skipped. Asymmetry is typically reduced by doing an asymmetrical amount of skin excision and setting the lid crease by removing a small strip of muscle. Fat excision is always done more conservatively now that in the past, as a youthful eyelid tends to be full and not hollow. I think you will get clarity from a consultation (or 2) and be able to make a nice informed choice for yourself.

All the best

It is definitely possible to have just skin removed in an upper blepharoplasty.  In fact this is really whats most often done. Removing fat in the upper lids, especially in the center of the lid, can result in a hollow appearance.  So looking at your photos I would suggest just skin removal.  It will look exactly like your eyelid only less hooded.  I often do this procedure in young healthy adults in my office under local anesthesia.  It takes about 35 minutes and is painless.

Eyelid surgery can be done with no or minimal fat removal and also the amount of muscle removed is varied according to the desired look.  We generally try not to create a hollowed out appearance and this should be discussed in detail with the patient.  Also, eyelid position comes into play as it looks like you may have a little ptosis, which might require tightening the levator muscle in some cases.  An oculoplastic surgeon should be able to discuss these issues in detail with you.

At 21, if you are considering having eyelid surgery, you need  see a PS for an assessment.I would be interested in seeing a photo of your upper face that shows both eyelids and eyebrows.Sorry could not be of much help

Yes a 'skin only blepharoplasty' is possible. But only IN PERSON opinions would allow that to be diagnosed as the best option for you...