Eyelid Surgery Each year, thousands of people have eyelid surgery (blepharoplasty) to improve the appearance of their eyes. This type of surgery can also help individuals whose vision is blocked when trying to look upward by extra skin over the eyelids. Is eyelid surgery for you? People with eye problems or serious medical conditions may not be good candidates for eyelid surgery. Your primary doctor and our specialists can tell you if eyelid surgery is right for you. As with any type of facial plastic surgery, realistic expectations and good health are vital. The surgery removes excess skin, fat, and muscle from the upper and lower eyelids to help give a fresher appearance. The surgery does not improve sagging eyebrows, remove dark circles, or remove fine lines from around the eyes. During your consultation, your surgeon may recommend other procedures, such as a browlift or skin resurfacing, to improve the appearance of brows or fine wrinkles. Surgery and Post-operative Care Eyelid surgery is usually performed under sedation or "twilight" anesthesia plus a local anesthetic to provide additional comfort. The surgery may take from 1 to 2 hours. You should generally avoid strenuous activity for several weeks. Most people can return to work in a week or two, depending on your previous level of activity.