There is a particular look to an overdone eyelid surgery, where all the fat around the eye has been removed. It looks hollow – likes the eyes are set back too deep – and patients can look tired or even ill. Though each patient is unique and requires an individualized approach to eyelid rejuvenation, I have found that some basic rules of thumb apply. In general, rejuvenation of the upper eyelids is primarily a skin procedure. Almost no fat should be removed in the great majority of cases, and when fat is removed, it’s usually the fat closest to the nose.