Puffiness of the upper and lower lids can be corrected by removing excess skin and/or fat around the lid area. The incision in the lower lid is placed just below the eyelashes, and result in a scar that is all but invisible. Sometimes the incision is made on the inner surface of the eyelid (the conjunctiva) if there is only fat to be removed. This means there are no visible external scars. The upper lid incision is placed in the natural fold crease of the upper lid. Age related changes of the muscle and fat are dealt with through these incisions.

Procedure:Correct drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin, and muscle.(Upper-eyelid surgery may be covered by insurance if used to correct visual field defects)
Length:1 to 3 hours.
Anesthesia:Usually locally with sedation or general.
In/Outpatient:Usually outpatient.
Side Effects:Temporary discomfort, tightness of lids, swelling, bruising. Temporary dryness, burning, itching of eyes. Excessive tearing, sensitivity to light for first few weeks.
Risks:Temporary blurred or double vision. Infection, bleeding. Swelling at the corners of the eyelids. Dry eyes. Formation of whiteheads. Slight asymmetry in healing or scarring. Difficulty in closing eyes completely (rarely permanent). Pulling down of the lower lids (may require further surgery). Blindness (extremely rare).
Recovery:Reading: 2 or 3 days. Back to work: 7 to 10 days. Contact lenses: two weeks or more. Strenuous activities, alcohol: about 3 weeks. Bruising and swelling gone: several weeks.
Duration ofSeveral years. Sometimes permanent.

When you are assessed with regards to you upper lids, the doctor will also assess the position of the eyebrows. Often with time and gravity, the eyebrow sits lower than it did when one was younger. This can leave a patient looking sad or angry. Correction of poor position is not part of the eyelid procedures, but is treated by a forehead lift.
Blepharoplasty procedures are well tolerated by most patients. However, if you have had any eye or visual problems, such as glaucoma, or suffer from dry itchy eyes, excessive tearing you should let your doctor know.

Most people recover from eyelid surgery in about ten to fourteen days. Makeup and mascara cannot be worn for fourteen days, as it could cause discoloration of the scar line. Bending over, and heavy lifting must be minimized for the first 3 to 4 weeks after surgery