Blepharoplasty is a surgical procedure that modifies the eyelidsboth upper and lower by the removal of excess skin and fat. As the ageingprocess occurs excess skin sometimes extends over the upper eye lids and peripheral vision is often impaired. Some young people can also be affected by this. Lower eyelid Blepharoplasty is mainly performed for cosmetic reasons to reduce puffiness or ‘bags’. It is therefore a procedure that can be performed for both cosmetic and functional reasons.