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Aesthetic surgery to the upper or lower  eyelids, often called blepharoplasty, can be successful at rejuvenating the area by reducing wrinkled skin and puffiness around the eyes. A good result leads to a refreshed and rejuvenated appearance. Standard techniques aim to remove skin, muscle or fat depending on the precise requirements of each patient. This can reduce the impression of tiredness associated with excess eyelid tissue and bags under the eyes. Techniques offered can address excess skin and fat in both upper and lower eyelids and can be combined with either conventional facelift or minimal access facelifts. For most people improvement in the upper eyelid involves reducing excess skin to minimise overhanging skin also known as hooding. This surgery is often performed under local anaesthetic as an outpatient or day case procedure. For some people who have a heavy or drooped brow adding a browlift operation can improve the result by reshaping and lifting the eyebrow. In the lower eyelid the appearance of prominent eye bags can be improved and diminished by removing excess fatty tissue along with excess skin to diminish wrinkles. Lower eyelid blepharoplasty is usually performed under general anaesthetic.Removal of eye bags using a ‘no scar’ technique can also be offered to suitable patients who have prominent eye bags but no excess skin.