It’s not unusual for patients to develop prominent periorbital fat pads with normal facial aging. When this situation arises, a variety of treatment options are available. Both blepharoplasty with fat resection and blepharoplasty with fat pad re-positioning are commonly utilized alternatives. The specific procedure chosen will depend upon the patient’s aesthetic goals and anatomic findings. It’s important that treatment be individualized to accomplish the patient’s goals.
Each of these procedures offers advantages and disadvantages. Historically, fat pad resection has been used extensively, but recently plastic surgeons have stressed the importance of fat preservation. This is especially true when tear troughs are present.