As you get older skin elasticity decreases causing skin sagging. Sagging skin in areas around the eye, causes you to appear much older. Eyelid surgery, which is technically named blepharoplasty, is now available to correct issues such as: under eye bags, loose eye skin, lower lid creases and puffy lids. Some other aging issues like creases or dark circles can’t be corrected with blepharoplasty. But, the changes can be significant. In addition to the appearance issues discussed, you may be experiencing limited vision due to the “heaviness” of your lids caused by decreased skin elasticity …this can be helped a lot by this surgery. Depending on the results you want, your cosmetic surgeon may suggest complimentary surgeries like a brow lift or facelift. These surgeries are often combined with eyelid surgery to regain that youthful appearance.