Drooping or sagging eyelids can make you look tired or angry. In some cases they also restrict your vision. Eyelid surgery (blepharoplasty) is a procedure designed to correct drooping upper eyelids and puffy bags below your eyes. Excess skin and fat may be removed from the upper and lower eyelids. The incisions follow the natural lines of your eyelids: in the creases of your upper lids, and just below the eyelashes of the lower lids. The incisions may extend into the laugh lines at the outer corners of your eyes. In some situations, the incision for the lower eyelid may actually be inside the eyelid, thereby avoiding an external incision.
This procedure may be combined with a brow lift or a skin resurfacing procedure to help eliminate wrinkles or crows feet. The procedure may be performed under local anesthesia, conscious sedation, or general anesthesia on an outpatient basis. Most patents return to their usual daily activities after one week.