This is a surgical procedure used to treat tired appearing , hooded or baggy eyelids. It involves removal of excess tissue – skin, muscle and sometimes fat, from the upper and/or lower eyelids. It improves the cosmetic appearance and increases the visual field. Also lower lid blepharoplasty may improve watery eyes. Sometimes it is done to obtain a lid crease in Asian patients. The result is a more youthful, rested appearance of the eyes with softening of wrinkle lines. This surgery is performed on an outpatient basis under local anesthesia using hidden incisions. There is no scar seen in the operated eye after surgery. Blepharoplasty can be combined with browlift, mini SMAS lift or facelift. Botox is often combined with other cosmetic procedures such as Fillers, Botox, Browlift, and Facelift.