Some people have eyelid surgery to correct problems that are a result of aging, while others have inherited traits such as under eye bags that cause them to seek treatment in their 20s or 30s.

If the upper eyelid condition is accompanied by sagging of the eyebrows, then a forehead lift may be recommended. Smoothing of crow's feet may require chemical peeling or laser resurfacing procedures. Circles beneath the eyes caused by dark pigmentation may be treated with a bleaching solution or chemical peel.
Alternately, sinking around the bony orbit below the eye can be addressed with fat grafting.

High blood pressure, thyroid problems or diabetes are some of the conditions that can increase the risks of eyelid surgery. You will be asked if you have allergies and if so, how they affect your eyes. We will also need to know if you have been told that you have "dry eye" or any other eye problems.

Your surgeon will discuss two different approaches to lower lid surgery: one uses an external incision and the other is performed from inside the lower lid. Your age and the extent of the fatty deposits you have will determine which approach is used.

An incision is hidden within the natural fold of the upper eyelid for upper eyelid surgery and it is through this incision that excess skin and fat are removed.
Because the incision follows the natural contour of the upper eyelid, it will be well camouflaged when it is healed.

For lower lid surgery the incision is usually hidden below the lower lashes.
Through this incision, excess skin, muscle and fat are removed. Fat may also be redistributed to eliminate puffiness or bulges. Other adjustments such as canthopexy may be made to correct special problems such as muscle laxity.

You and your surgeon may decide that the best approach for removing excess fat is a technique that needs no external incision. This procedure is called transconjunctival lower blepharoplasty. While it is a good approach for younger patients, it cannot be used to remove excess skin so a laser may be used in conjunction with this method to tighten the skin under the eyes.

After your surgery, you may have a feeling of dryness or irritation in the eye. This may require treatment. There is also a chance of a temporary reduction in eyelid sensation or impaired eyelid function. Impaired lid function can be treated with additional surgery.

Mild swelling persists for several weeks in some cases while others see swelling resolve in just seven days. Bruising normally disappears in seven to ten days and you may use makeup within the first week to hide discoloration.

You may find your eyes are temporarily sensitive to light. You may also experience some excess tearing or dryness. Your surgeon may recommend eye drops to relieve burning or itching. You may want to wear dark sunglasses for a couple of weeks to protect your eyes from the wind and sun.

The incision lines will fade over several months until they become barely visible.

Asian Eyelid:

The upper eyelid fold can enhance the beauty of the eyes. Apart from allowing the eyes to appear naturally bigger, the eyelid creases also create a platform for better application of cosmetics. Most Orientals and some Caucasians are born with no upper eyelid creases, or very shallow creases. Surgical creation or enhancement of the eyelid fold has always been very popular, especially among Asians.

The operation can be done externally with an incision after surgery.

After over the proposed crease of the upper eyelid or internally from within the eyelid with nylon sutures. The goal is to reattach the eyelid muscle in order to create an attractive skin fold of the upper eyelid. The double eyelid operation is often done in conjunction with rejuvenation of the upper eyebag. Both procedures are termed upper blepharoplasties.