Mesotherapy to Remove Fat Pads Under Eyes

Both are effective in removing fat pad over the lower eye. Blepharoplasty is a minor surgical procedure to remove the fat pad which will involve incisions. This procedure usually a one-time procedure and the result is immediate. But the disadvantage is longer downtime due to swelling, bruising n pain and there is also a risk of getting infection over the wound and scarring.
Fat mesotherapy is a minimally invasive procedure which involves small injection over the fat pad area. The disadvantages are it may need several session, 2 weekly or 4 weekly apart to achieve the maximum the results.
The advantage is it does not have prolonged downtime, no scarring and very rarely it can causing infection. For my advice, it's always better to go for the non-invasive procedure first and if you feel the results is not good, then you can opt for surgical removal.

I personally do not perform blepharoplasty but have significant experience with mesotherapy. I can assure you that mesotherapy is NOT suitable for under eye treatments, please seek the advice of a local oculoplastic surgeon who will guide you. Best wishes