This method involves making a window on the orbital septum and the seen fat that bulges out is surgically reduced or trimmed away. Over 90% surgeons use this method
Advantages
- Most common and simple method
- Fat can be removed through external eyelid skin muscle subciliary approach or internally through conjunctival approach.
Disadvantages
- Recurrence rate higher
- Outermost fat compartment may herniate out 7-10 years later
- Sunken eye may result if too much fat removed