The popularity of eyelid surgery is not surprising given the eyes are considered the windows to the soul. Wrinkles, puffiness, under eye bags, and drooping lids all contribute to the “tired or aged look.” Depending on the problem area(s), your surgeon may choose to perform surgery on the upper and/or lower lids. Excessive skin is excised and fat pads are removed through incisions hidden in the natural crease of the upper eyelids and along the lower lash lines. The result is a more youthful appearance. This procedure can be done under local sedation.