How Do I Get Rid of Upper Eyelid Fat?

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 excess
eyelid skin associated with prominent fat pads.  This not only makes the eyelids look heavy but also makes
the patient look tired.  For these
reasons, patients often request upper eyelid blepharoplasty.

This procedure is performed through an upper eyelid incision
and removes excess skin and fat collections.  The procedure can be performed under local or general
anesthesia.  Patients typically
recover in about 5 to 7 days following surgery.

Patients who undergo this procedure often look younger,
rested, and more energetic.  For
this 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.

Upper eyelid lift not only addresses excess skin but also fat. There are two compartments and types of fat in the upper lid, see a specialist plastic surgeon to make a correct assessment and schedule surgery is appropriate.
Wish you the best in your journey,
Dr Leo Kim, Specialist Plastic Surgeon in Sydney

Hi!Thanks for your question! Fats on the upper eyelid may be quite a displeasingsight. However, there is a way to eliminate this unwanted upper eyelid fat.This procedure will be through surgical removal of the said fat. That said,only a board certified plastic surgeon should do this procedure since it is avery delicate one and years of experience with eyelid surgeries would berequired for a successful procedure to ensue. Your plastic surgeon must notremove excessive amounts of fat so your upper eyelids will not appear hollowed,which is another unsightly issue altogether.
Natural fullness of the upper eyelid is a youthful look. A bulging fat pad from the inside of the upper eyelid is a sign of aging. Removal of this fat pad is usually performed with the traditional upper eyelid surgery. Central fat pad is minimally removed.  The procedure can be performed under local anesthesia or iv sedation.  However, if it only a medially fat pad concern and there is no significant skin redundancy this can be approached from the inside of the upper eyelids. Keepin mind though, that this advice is a general advice for the question stated.Your board certified plastic surgeon will still need to look at you personallyfor assessment. Based on this assessment, he or she will be able to determinethe exact procedure that you may need. Good luck!

Surgical removal of upper eyelid fat, or puffy upper eyelids, is best performed through an eyelid crease incision as part of the blepharoplasty procedure.  Caution should be taken to not excise too much fat as you can look 'hollowed' out our have the appearance of deeper eye sockets. 

Surgical blepharoplasty - or eyelid surgery - is a surgical excision of the excess skin of the upper eyelid. Sometimes small amounts of fat are also removed from the upper eyelids - but carefully so as not to leave the upper eyelids too thin or hollow. Eyelid surgery can be done in the office under local anesthesia. The recovery is about 5-7 days. Sometimes blepharoplasty is combined with laser skin resurfacing or chemical peel to tighten skin and smooth wrinkles and lines.

If your upper eyelids are too puffy the best answer is generally an upper blepharoplasty where the appropriate amount of skin and fat is removed.  In our practice the surgery is performed in a fully approved operating room with twilight sedation performed by a team of board certified anesthesiologists and nurse anesthetists. The key to great cosmetic surgery, especially around the eyes, is to obtain improvement with a very natural result.  You should not look like you had your eyelids "done".  You should just look refreshed, younger, and more attractive. I would suggest that you speak to a cosmetic surgeon who is experienced with eyelid surgery and discuss your goals and options.