As we age, the skin and muscles of the eyelids and eyebrows may sag and droop. You may get a lump in the eyelid due to normal fat around your eye that begins to show under the skin. These changes may lead to other issues. For example:
Excess skin on your upper eyelid can block your central vision (what you see in the middle when you look straight ahead) and your peripheral vision (what you see on the sides when you look straight ahead). Your forehead may get tired from trying to keep your eyelids open. The skin on your upper eyelid may get irritated.
Loose skin and fat in the lower eyelid can create “bags” under the eyes that are accentuated by drooping of your cheeks with age. Many people think these bags look unattractive and make them seem older or chronically tired.
Upper or lower blepharoplasty (eyelid surgery) can help correct these problems. Patients often refer to this surgery as an “eyelid tuck” or “eyelid lift.” Please know the eyelid itself may not be lifted during this type of surgery, but instead the heaviness of the upper eyelids and/or puffiness of the lower eyelids are usually improved.
Ophthalmologists (eye surgeons) call this surgery “blepharoplasty.” The surgeon may remove or change the position of the skin, muscle and fat. Surgery may be desired on your upper eyelid, lower eyelid, or both eyelids. The surgeon will put sutures (stitches) in your eyelid to close the incision (cut).
For the upper eyelid, the surgeon makes an incision in your eyelid's natural crease.
For the lower eyelid, the surgeon makes an incision either through the skin just below your lashes, or in the conjunctiva (moist inside surface of your lid) where you can't see it.