Blepharoplasty (eyelid surgery) is especially helpful for patients with excess skin of the upper eyelids "hooding", excess wrinkling of the periorbital skin, or bagginess of the lids. This surgery is indicated for patients who just want to see better as well as those who wish to have a more "rested" and youthful appearance. Often this procedure is combined with a facelift or brow lift to provide an optimal result. Blepharoplasty is accomplished by the removal of excess skin of the upper and lower eyelids, and resuspension and re-draping of the periorbital fat and soft tissues. Removal of fat should be very limited. Removal of too much fat, although it may correct lid bagginess, can lead to a hollowed out eye that over time actually creates an older appearance. Not everyone is a good or safe candidate for blepharoplasty surgery. Patients who have severe dryness of the eyes, proptosis (bulging eyes), or significant lid laxity may not be candidates for surgery. Once Dr. Smith has seen you for a consult, performed a thorough examination, and reviewed your medical records and medical history, he will be able to recommend which options are best indicated for you.