Blepharoplasty tightens the muscles and tissues of the eyelids, removes excess fat and skin, and corrects sagging skin, significantly improving peripheral vision. It is also performed for cosmetic and aesthetic reasons. Blepharoplasty can be performed on either the upper or lower eyelids, or both (circular eyelid lift), for cosmetic purposes. For a lower eyelid lift, which requires removing fat rather than skin, transconjunctival blepharoplasty is performed. Transconjunctival blepharoplasty involves making an incision inside the lower eyelid, so there is no visible scar, and the fat is removed. This procedure does not affect vision, but results in a younger, fresher appearance.
It is important for the patient to have realistic expectations before undergoing cosmetic blepharoplasty. Although the procedure improves appearance and self-confidence, it does not radically change the face.