As you get older skin elasticity decreases causing skin sagging. When this happens in the area around the eye it can cause you to look significantly older. Eyelid surgery, which is technically called blepharoplasty, is now available to correct issues such as: under eye bags, loose eye skin, lower lid creases and puffy lids. It is recommended you speak with your plastic surgeon about blepharoplasty if you are wanting to fix the above. Another reason to consider correction is that increased heaviness of lids can impair your vision. Depending on the results you desire, your plastic surgeon may suggest complimentary procedures like a brow lift or facelift. These procedures are often paired with eyelid surgery to regain that youthful appearance.