Droopy eyelids are a major reason why some people consider eyelid surgery (known as blepharoplasty) to remove and tighten excess eyelid skin, which can improve the appearance of the eyelids. Sometimes blepharoplasty also can improve vision by improving droopy eyelids and providing a less obstructed field of view.

An upper eyelid blepharoplasty should not be confused with upper eyelid ptosis surgery, which is a procedure to raise the position of the upper eyelid margin by tightening the muscle (or muscles) that normally elevates it. Blepharoplasty surgery sometimes can elevate an upper eyelid margin slightly if the heaviness of the excessive skin is actually “weighing down” the upper eyelid, causing it to droop.

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Cosmetic blepharoplasties are performed to improve your appearance.

The eyelid skin stretches, muscles weaken and fat pockets become more prominent as they bulge. This may be a hereditary condition that runs in your family. Cosmetically, such conditions may detract from the overall attractiveness of your eyes and face as well as cause a tired or older appearance.

Functional blepharoplasties are performed for medical reasons.

This procedure serves to improve your vision, such as when loose skin from baggy upper eyelids falls and pushes your eyelid margin down into your line of sight.

Other medical conditions that may require blepharoplasty include:

  • Difficulty wearing glasses or contacts from baggy upper eyelids.
  • Irritation from excess folds of eyelid skin rubbing together.
  • Forehead discomfort from overused muscles that strain to lift sagging skin in the eyelid area.