Skin naturally sags as you get older. This is caused by skin losing its former elasticity. Sagging skin in areas near the eye, can cause you to look significantly older. Eyelid surgery, which is technically named blepharoplasty, is now available to resolve issues such as: under eye bags, loose eye skin, lower lid creases and puffy lids. Some other aging issues like wrinkles or dark circles cannot be fixed with blepharoplasty. But, the changes can be dramatic. Another reason to consider correction is that increased heaviness of lids can impair your vision. Depending on the results you desire, your cosmetic surgeon may recommend complimentary procedures like a brow lift or facelift. These surgeries are often combined with eyelid surgery to regain that youthful look.