Blepharoplasty, or eyelid surgery, is really two different operations, depending on whether the upper lids or the lower lids are the area of concern. The problem with the upper lids is chiefly one of excess skin, and the operation removes it.
At times the skin excess is so marked that it interferes with the visual field, and in this event the operation may be covered by your health insurance. If you think this the case, you should have your visual fields evaluated by your eye doctor prior to consultation. On the other hand, when people have surgery on the lower lids, it is to remove the excess fat that is bulging through the lid and creating “bags.” Blepharoplasty is frequently done in the office under local anesthesia.