Changes around the eyelids are the first signs of aging on the face. Blepharoplasty improves the appearance of the upper eyelids, the lower eyelids, or both, thus offering a fresh and more relaxed appearance to the periocular region. What eyelid surgery can treat: -Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision -Fatty deposits that appear as puffiness in the eyelids -Bags under the eyes -Drooping lower eyelids that reveal white below the iris -Excess skin and fine wrinkles of the lower eyelid The surgery is performed under local anesthesia with a sedative during the procedure