Eye bag removal is a surgical procedure that removes excess fat, skin, and muscle from the upper and lower eyelids. Eye bag removal, while correcting sagging skin on the upper eyelids and bags on the lower eyelids, does not completely remove crow’s feet and eyelid wrinkles, nor does it eliminate dark circles under the eyes or lift sagging eyebrows. Upper and lower eyelid blepharoplasty can be performed separately or together. Blepharoplasty is also often performed in conjunction with other facial cosmetic procedures, such as a face lift or brow lift. Blepharoplasty can dramatically improve the appearance of your eyes. Patients with conditions such as hypothyroidism, inadequate tear production, high blood pressure, cardiovascular disease, diabetes, retinal detachment or glaucoma are generally not candidates for blepharoplasty. The surgical incision for the upper lid is located in the area of the blepharoplasty crease; the lower lid is located at the lower edge of the eyelashes and may extend laterally to the crow’s feet on the outside of the eye. Through these incisions, the skin is separated from the muscle and fat, excess fat is removed, and excess skin and muscle are trimmed. The incisions are finally closed with very fine sutures. Some younger patients with only lower lid bags and good skin elasticity can have the fat removed via the lower lid conjunctiva so that there are no signs of the surgery on the outside. The eyes are often lubricated with eye ointment and bandaged with small strips of gauze after surgery, but this does not prevent seeing. After recovering from anesthesia, you may feel soreness and pain in your eyes. Avoid lowering your head and do not move around too much for a few days after surgery. Localized cold compresses and pressure may reduce swelling and bruising on the day of surgery, and folds will be applied 5 days after surgery. Strenuous exercise should be avoided for several weeks after surgery, especially exercises that raise blood pressure such as body bending, weight lifting and other strenuous exercises.