Blepharoplasty, also known as eyelid surgery, involves the removal of fat usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes. These features may make you look older and more tired than you feel, and may even interfere with your vision. This procedure doesn't involve crow's feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows.

Candidates suitable for eyelid surgery:
Blepharoplasty can enhance your looks and give your self confidence but won't make you look entirely different. So be realistic in your expectations.

1. The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable.
2. Most are 35 or older.
3. If droopy, baggy eyelids run in your family, you may decide to have eyelid surgery at a younger age.
4. The medical conditions which make blepharoplasty more risky are thyroid problems such as hypothyroidism and graves' diseases, dry eye or lack of sufficient tears, high blood pressure or other circulatory disorders, cardiovascular disease.
5. If you have a detached retina or glaucoma. Check with your ophthalmologist before you have surgery.

When eyelid surgery is performed by a qualified plastic surgeon, complications are infrequent and usually minor. But you should always expect risks and discuss with your plastic surgeon about the pros and cons involved.

Blepharoplasty may take one to three hours. For this procedure, the plastic surgeon makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in your lower lids. The incisions can extend into the crow's feet or laugh lines at the outer corners of your eyes.

If you have a pocket of fat beneath your lower eyelids but don't need to have any skin removed, your plastic surgeon may perform a transconjunctival blepharoplasty. In this procedure the incision is made inside your lower eyelids, leaving no visible scar. It is usually performed on younger patients with thicker, more elastic skin.