Upper Anchor Blepharoplasty? (Photos)

The primary goal of an upper blepharoplasty procedure is to remove excess skin on the upper lids.  From the picture shown there is a small amount of skin present but it does not appear that there are any fat issues on the upper lids.  We do not perform fat injections in the lower lids due to the lumpiness, unevenness, and unpredictability of the healing process related to fat grafts.

Keep interviewing plastic surgeons. For many, fat grafting in the brow / upper lid junction can produce very pleasing, natural looking and youthful results.

The upper eyelid is a thin structure that normally does not contain any significant amount of subcutaneous fat.  So fat grafting of the upper eyelid itself would not produce an aesthetically pleasing result, and would in fact be quite dangerous to attempt. The area between the brow and the upper eyelid crease, on the other hand, is full of subcutaneous fat in most young people, and that fullness looks youthful.  I refer to this area as the ‘brow-upper lid junction’, and I add fat to make it fuller in the majority of patients for who I perform eye-area rejuvenation surgery.
Take a look at the eyes of fashion models in advertisements: in most cases you actually see little to none of the upper lid.  What you see is a youthful soft tissue fullness that extends from the brow to the upper lid lashes. As we age, this fatty fullness atrophies and the brow-upper lid junction gradually becomes hollow.  The outline of the bony structures below the brow (the superior orbital rim) becomes visible, and one begins to look older, sometimes even ill, and in advanced stages even skeletal.  In some patients that I treat this appearance is inherited and they have a hollow look at their brow-upper lid junction at a young age.  It is also an appearance that some people have following an overly aggressive upper blepharoplasty, where the surgeon inappropriately removes fat from the brow-upper lid junction.