Blepharoplasty is the removal of excess skin, muscle and fatty tissues from the upper and lower eyelids. This is the most common facial cosmetic surgery and has the highest level of patient satisfaction. Upper lid surgery is performed through a lid crease incision to reduce excess tissue, sculpt fatty tissue and form a cosmetic crease. This allows makeup to be used more effectively. Lower lid surgery is usually performed from inside the eyelid to hide the incision. Fat prolapse in the lower eyelids is sculpted and repositioned to give a more youthful appearance and fill hollow circles. The lower lid wrinkles are improved by tightening and elevating the lateral canthus and/or a light peel if interested.