Skin’s elasticity decreases over time and leads to sagging. When this occurs in the eye area it can cause you to look significantly older. Surgery is available for both upper and lower lid problems. It resolves issues such as; puffy lids, under eye bags, lower lid creases, and loose skin. Some other aging problems like creases or dark circles cannot be fixed with blepharoplasty. But, the changes can be dramatic. In addition to the appearance problems discussed, you might be experiencing impaired vision due to the “heaviness” of your eyelids caused by decreased skin elasticity …this can be helped a great deal by this surgery. Your plastic surgeon may recommend this as a companion to other surgeries such as brow and facelifts.