Eyelid procedures are not just about fat removal. In fact, I remove very little fat. I often add fat (fat grafting) or fillers in addition to repositioning/redistributing the lower eyelid fat (fat transposition) over the cheek bone at the lid cheek junction. In addition, I elevate the lateral cheek complex over this fat redistribution. It is a true volumizing procedure and together with a modest skin removal yields a true youthful appearance.