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Eyelid surgery has evolved over the years from more aggressive fat excision to a more conservative one. Fat around the eye is actually very important for a youthful appearing eye. As we age, however, some of the fat that surrounds the eye can become more apparent, mainly centrally at the upper eyelid. This fat can be removed conservatively through an upper eyelid blepharoplasty. It is important to maintain fat around the eye such that we are even transplanting fat around the eye to maintain its youthful appearance. The key is to consult with a board certified plastic surgeon or oculoplastic surgeon with expertise in this area.
I recommend that you consult with a board-certified facial plastic surgeon who has proven experience and expertise with eyelid work. Based upon the surgeon's findings, he/she can evaluate your areas of concern and determine if an upper blepharoplasty is truly right for you.
The best and most common procedure for fat removal from the upper eyelids is blepharoplasty. It takes about 45 minutes to perform, can be done with straight local anesthesia and usually gives a beautiful result in a relatively short time. See an eyelid specialist (oculoplastic surgeon) to evaluate your problem in person and to determine the appropriate treatment plan tailored to your specific issue.
It’s not unusual for patients who are aging to have excesseyelid skin associated with prominent fat pads. This not only makes the eyelids look heavy but also makesthe patient look tired. For thesereasons, patients often request upper eyelid blepharoplasty.This procedure is performed through an upper eyelid incisionand removes excess skin and fat collections. The procedure can be performed under local or generalanesthesia. Patients typicallyrecover in about 5 to 7 days following surgery.Patients who undergo this procedure often look younger,rested, and more energetic. Forthis reason, the procedure has high patient satisfaction.
Due to the delicate anatomy in this area, we generally advise a surgical approach to fat removal. Non surgical methods such as mesotherapy are dangerous around the eye and should generally be avoided.