The eyes are often the first facial features to show visible signs of aging. Patients often complain of puffy eyelids with excess, wrinkled skin. Cosmetic surgery of the eyelids (blepharoplasty) is performed to rejuvenate the eyelids. Just as there are many types of facelifts, there are many procedures to rejuvenate the eyelids. Some patients may benefit from simple fat removal of the lower eyelids which results in no external scarring while others may require that excess skin and muscle be removed and the remaining tissues restored to a more youthful position. If incisions are required, they are well concealed in the eyes' naturally-occurring folds and creases and become nearly imperceptible over time. Blepharoplasty is often performed in conjunction with other procedures to maximize your surgical result.