The accumulation of excess skin, fat pockets and a tired appearance is a frequent motivation to seek a correction of the eyelids. This procedure is done under local anesthesia and sedation. Incisions are made in the natural fold of the upper lid and near the eyelashes or on the inside of the lower lid, and excess skin is removed, fatty tissue is rearranged and support structures are reinforced as needed. The patient can return home the same day, possibly with the eyes covered with absorbent gauze for 24 hrs. Due to the direct effect that the position of the eyebrows has on the

eyelids, it is frequent that a simultaneous brow lift be considered.