FACE - Eyelids Blepharoplasty   Blepharoplasty is customarily a cosmetic procedure to enhance the appearance of the eyelids. A blepharoplasty may involve the upper lids, or the lower lids, or both. Prime objectives in this surgery are to achieve a natural, refreshed appearance, and by all mean to avoid an artificial over-done appearance. Upper Blepharoplasty In an upper blepharoplasty the excess skin and fat is removed. Other enhancing procedures may be done such as smoothing the skin with laser and stabilizing the lid crease. An upper blepharoplasty is typically a cosmetic procedure. Lower Blepharoplasty This is typically a more complex operation than an upper blepharoplasty and each patient should be carefully evaluated and the procedure individualized to his or her specific needs. In the basic procedure the skin is tightened and any bulging fat (‘bags') removed. Additional procedures are often included, such as smoothing the skin with laser and tightening the outer attachment of the lid to prevent retraction following surgery. When the skin tone is good and the problem is excess fat only, no skin incision may be required. In this situation the fat is removed through an incision on the inner surface of the lid and no stitches are required. Additionally, the skin may be tightened and wrinkles reduced with a laser. A lower blepharoplasty is a cosmetic procedure. Factors such as age, skin texture, eyesight problems, emotional problems, etc. usually leave their consequential signs on the eyelids. Therefore, when you have your consultation with your plastic surgeon, he will make a deep and careful analysis of the areas that could receive surgical benefits. Very often, eyelids aesthetic problems are due to clinical factors (dark circles around the eyes, edemas, etc.) and, therefore, no surgery is indicated. Other times, clinical problems are associated to surgical ones and even though the eyelids are properly operated on, some aspects of the original problems may remain because of the associated clinical disorders. Plastic surgery acting upon the eyelids only corrects skin and fat Excess and muscular flaccidity. In some cases, it may even improve the functional aspect besides the aesthetic one. This type of surgery does not cause any harm to the functional working of the eyelids as long as post-op evolution is normal.