Can orbital shave surgery be performed through an eyelid incision? (Not looking for full brow ridge surgery)

Yes, that can be done through upper eyelid crease incision. Expectations and goals are key in achieving happy outcome, so best to see an oculoplastic specialist in person for evaluation and discussion.

Brow bone shaving thru the upper eyelid? Having done hundreds of these brow bone shaving procedures over the past 35 years, I can tell you it depends on the amount and location of the bone and your expectations. Choose an experienced facial plastic surgeon or plastic surgeon familiar with this operation and alternative approaches.

A prominent lower brow bone can be conservatively reduced through an upper eyelid incision. The sensory nerves are at risk. Also the position of the underlying frontal sinus should be determined before surgery to prevent exposure of the sinus.