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Will the fat be removed from my lower lids?

Probably not. For many years, lower lid blepharoplasty involved removing the lower lid fat. Long term fat excision created pronounced skeletonization and hollowing of the eyelid area. We now understand periorbital aging and know that bulging fat is merely a symptom of an underlying problem. The septum, or covering over the eyelid fat, becomes weak with age and allows the fat to bulge. Hence, treatment must focus on tightening the septum to restore the fat to its proper position. If excess fat is truly present, it will be excised or repositioned on the orbital bones to restore a smooth, youthful appearance and prevent future hollowing or sunken appearance.

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