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Eyes are a prominent feature of your face. They have been called the "gateway to the soul". The globes themselves are expressionless. The eyelids and the surrounding skin and muscles express emotions.

The eyelids protect our eyes. The outer covering is skin; the inner layer is lined with mucosa (moist tissue). Muscles close and open the lids. The tarsal plate is made of cartilage and supports and shapes eyelid edges. Glands in the lids add some of the secretions to lubricate the eye. Eyelashes also help shield the eye. There is a delicate balance between the different components.

If your eyelids look old, you will look old. Wrinkles may be only over the lids or they may extend beyond the eyes to become "crow's feet." Redundant skin on the upper eyelids can become so excessive as to hang beyond the lashes obscuring vision. The extra weight can make it difficult to open your eyes.

As the eyelid muscles and skin age, they sag, creating bulges. Removing some of the fat behind the muscles and or re-draping the muscles can sometimes improve appearance.

Blepharoplasty is a procedure to remove fat—usually along with excess skin and muscle from the upper and lower eyelids. Surgery can correct drooping upper lids and puffy bags below your eyes—features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won't remove crow's feet or other wrinkles, eliminate dark circles under your eyes or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or brow lift.

Generally results are successful. However, surgical outcome will depend on the extent of corrective work, the skin structure and healing process, hereditary factors, age and other physical characteristics.