The most modern techniques involve supporting the basic structures and redistributing, rather than just removing, the surrounding fat pads. This results in a more natural — not sunken — look. This is the approach our office recommends and practices.

Caution: There are still many physicians who remove large amounts of fat, resulting in the “ hollow eyes” look. Be very careful if a surgeon says he will remove fat pockets from your eyes. It is also very important to note that the eyebrow must be placed in the correct position before removing any skin from the upper lid. Too much skin can be removed from the upper lid when the real problem was with the eyebrow. This can result in a further pulling down of the brow or an inability to close the eyes. This is a common problem in upper eyelid surgery.