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2026-05-29

Upper Eyelid Fat Removal: ROOF Fat Removal

Learn about ROOF fat removal, a specialized procedure for thick, puffy upper eyelids that targets fat behind the orbicularis oculi muscle.

Upper Eyelid Fat Removal: ROOF Fat Removal

There is a surgery known as #UpperEyelidFatRemoval. Specifically, it is a method called #ROOFFatRemoval.

This procedure is primarily performed for individuals with the following concerns:

When the upper eyelid looks thick and puffy, almost as if a ‘dumpling’ is sitting on top of the eye...

ROOF is an acronym for Retro-orbicularis oculi fat.

This corresponds to the ‘R’ section shown in the diagram above.

This is the fat located behind the orbicularis oculi muscle, separate from the orbital fat that is commonly removed.

Since this area is not easily accessible for fat removal, it must be handled with extreme care. Improper technique can lead to complications such as hematoma (blood pooling) or the formation of triple eyelids.

This is what it looks like after the #ROOF has been removed.

While a #thick appearance can sometimes be due to the skin itself, significant improvement is possible if the ROOF fat is properly excised.

Frequently Asked Questions

What is ROOF fat removal?

Yes, it is a surgery that removes fat located behind the orbicularis oculi muscle. ROOF is an acronym for Retro-orbicularis oculi fat, which is located in a different position than the common eyelid fat we usually remove. This method is mainly performed on people with thick eyelids, like having a dumpling on them, to improve their eye shape.

Can there be side effects during ROOF fat removal surgery?

Yes, hematoma (blood collection) or triple eyelids can occur. ROOF fat is not an easy area to remove, so it requires a very careful approach during surgery. Therefore, a delicate and meticulous surgical process is essential to prevent side effects.

Can people with thick eyelid skin also see results?

Yes, even if the skin itself is thick, improvement is possible. While thick skin might be one reason for puffy eyelids, properly removing the ROOF fat located behind the orbicularis oculi muscle can significantly alleviate the heavy and thick feeling.

Are general eyelid fat removal and ROOF fat removal the same surgery?

No, the location of the fat being removed is different. Unlike general eyelid fat removal, ROOF fat removal targets a specific fat layer (ROOF) located deep behind the orbicularis oculi muscle. It is a surgery that can be performed in conjunction with general fat removal or considered additionally if the eyelids are particularly thick.

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