Cosmetic eyelid surgery or blepharoplasty is done to improve the appearance of the upper or lower eyelids.
The primary goal of upper eyelid surgery is to remove the excess skin and fat, whereas the goal of lower eyelid surgery is to remove mostly excess fat. The fat in the lower eyelids is a genetic trait and is referred to by many as puffiness. Typically, patients will say that they look older than they feel when they look in the mirror.