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My upper eyelid is fleshy, but if I lift it up, I can see double eyelids.
I guess there are two possibilities. First, there is a lot of fat on the eyelids. I have friends who can liposuction. Many people are born like this. It is estimated that the weight loss effect is not great.

Another possibility is that the eyes that need to be opened during plastic surgery are the so-called inner canthus, which can be seen.