Lower blepharoplasty: remove the fat or simply redistribute it? (Photo)

Thanks for the question.  Since it appears you have a significant amount of fat, you may need some removed, while some you reposition.  I typically reposition the nasal most fat pad and remove the central and lateral ones, being careful to remove only the fat that is in excess.  Good luck!

Though an in person consultation is always ideal, based on the photo you posted, I would recommend fat repositioning rather than excision. Volume preservation is an important feature of the modern facial rejuvenation paradigm. Sometimes, some eyelid fat may need to be removed. In your cases however, I believe that repositioning will work well and preserves volume.