Mesotherapy to Remove Fat Pads Under Eyes

The appearance of the lids is a combination of volume and skin. Mesotherapy will not address the skin and may be dangerous for usage in this area.
Seek a board certified plastic surgeon to carefully evaluate your lids and propose solutions.
Becareful of marketing claims without adequate scientific back-up.
Steven Williams, MD

Mesotherapy is not a standard nor safe procedure for eyelid fat pads. It is unpredictable and should not be used near the eyes.

Mesotherapy is an umbrella term for a wide variety of treatments. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures to help tailor an appropriate treatment plan for you.

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

Transconjunctival lid surgery is great and mesotherapy does not really work in many cases. Injections like this near the eye may even cause blindness. I hope this helps, Nasim Huq

Mesotherapy is not FDA approved. The formulations that people are using are not standardized, and the results are unpredicatable. Removal of a precise amount of fat in necessary to get a good result on the lower eyelids - if too much is left, you buldge. If too much is taken, you look hollow. If you are considering doing something to your lids, see a board certified surgeon and discuss your goals. Most likely you could benefit from a controlled transconjunctival blepharoplasty.
Be safe!

Each lower eyelid consists of three compartments of fat that is removed through a transconjunctival approach (the inside of the lower lid). The fat is teased out, and the base is cauterized to make sure it does not bleed around the eyeball. This usually does not effect a change in the shape of the eyelid.
If excess skin is then encountered on the lower lid, a pinch technique can be done to remove excess skin. This is done with a small incision made at the subciliary line right below the eyelashes (usually 2-3mm). This incision is then closed with tissue glue.
The incision on the inside of the lower lid heals on its own without any sutures or glue.

Transconjunctival lower eyelid blepharoplasty is 100% the way to go, especially for a young person who has genetic (versus age-related) orbital fat pseudoherniation. I recommend this procedure for patients with lower eyelid 'fat bags' related to aging, as well. There are no visible scars and the results are excellent in experienced hands. While injectables are an effective means to recontour and smooth the transition between the lower eyelids and the cheek, they are temporary. Mesotherapy is not FDA-approved and has no U.S. studies to evaluate safety or efficacy; do not take a chance on this treatment around your eyes!

Absolutely do not allow anyone to inject a mesotherapy agent into your eyelids - or anywhere else for that matter. This procedure has not been scientifically proven to be effective OR SAFE yet so wait until that time comes.
Also at your age, I would submit that you are too young for eyelid surgery. I would suggest you look into having Restylane injected to hide the appearance of the fat. You probably actually have an empty area making it look like you have fat bags when you really don't. Filling in the hollow would be the appropriate treatment in this case.