MODEL RELEASED. Cosmetic eyelid surgery. Face of a woman about to undergo cosmetic eyelid surgery. This procedure, known as blepharoplasty, aims to correct drooping upper lids and puffy lower lids, which often develop as part of the ageing process. The dotted lines above and below the eye show where incisions will be made to remove excess fat, along with skin and muscle. This procedure can be performed on its own, or in conjunction with another procedure, such as a facelift. Cosmetic eyelid surgery is usually carried out under local anaesthetic while the patient is awake.