As part of the normal ageing process, eyelids stretch and the supporting muscles weaken. Excess fat and skin may therefore gather above and below your eyelids, causing sagging eyebrows, drooping upper eyelids and bags under your eyes. 
Some of these features can be improved during a surgical procedure called blepharoplasty, by surgically removing excess skin, muscle and fat. A blepharoplasty can be performed together with a facelift or other facial surgery.
Suitable patients
Patients undergoing any cosmetic surgery procedure should be healthy, psychologically stable and realistic in their expectations.
Blepharoplasty surgery must be tailored to each patient, depending on their concerns and the condition of their eyelids.
You could consider this surgical procedure if:
  • excess tissue keeps your eyes from opening completely;
  • you have baggy or puffy upper eyelids;
  • you have excess skin on your lower eyelids.
The following cannot be corrected/removed or improved by a blepharoplasty procedure:
  • Crow's feet lines and other wrinkles around the eyes
  • Dark circles under or around the eyes
  • Sagging eyebrows
  • Deep hollows under the eyes
These problems can be corrected by brow lifts, microdermabrasion, chemical peels, fat grafting or Botox.
The blepharoplasty procedure will not stop your eyes from ageing. The results of this surgery are therefore not permanent, but definitely long lasting.