 The herniated periorbital fat was removed by opening the orbital septum with sharp dissection using a 15 blade, teasing the periorbital fat out, cross clamping the fat and removing the fat with a scissor over the clamp. 
The herniated periorbital fat was removed by opening the orbital septum with sharp dissection using a 15 blade , teasing the periorbital fat out , cross clamping the fat and removing the fat with a scissor over the clamp .