It promotes a more youthful appearance by “waking up” sagging skin around the eyes. Cosmetic surgery for the eyelids removes fat and excess skin from the upper eyelids, the lower eyelids, or both. Drooping eyelids and puffy bags under the eyes can be correcting by this kind of cosmetic surgery. Blepharoplasty will not remove dark circles or crow’s feet.

Typically, the cosmetic surgery procedure calls for incisions in the crease of your upper eyelids and along the lash line of the lower eyelids. After separating the skin from the fat and muscle underneath, the surgeon removes excess fat and, if necessary, excess skin as well. If you only need fat removed from your lower eyelids, and have fairly young, resilient skin, a different cosmetic surgery procedure called a transconjunctival blepharoplasty may be performed. Here, the incision is made inside the lower eyelid.

After cosmetic surgery on your eyelids, it will take two or three days before you can read or watch TV, and you may be sensitive to light for several weeks. It is possible that you may have to go 24 hours or more not being able to see at all, until your bandages are removed. If you cannot cope with that idea, you may need to undergo the more time-consuming and expensive procedure of having each eye done at a different time.

Your surgeon can tell you if your drooping upper eye appearance is a result of dropped eyebrows. This cannot be repaired by cosmetic surgery on your eyelids; instead, a brow lift may be needed, which will raise your eyebrows while removing creases from your forehead.