If you believe that your eyes are making you look tired, sad, or older than you really feel, consider cosmetic eyelid surgery to remove the excess fat, minimize bags under the eyes and tighten the eyelid skin. The result is a more alert and rested appearance. Typically, the upper eyelid incision line follows the natural contour of the upper eyelid and is camouflaged within the natural crease when healed. Lower eyelid incisions are concealed just below the lower lashes or within the lid depending on the amount of excess lower lid skin. In some patients, the underlying muscle may need to be tightened, bulging fat pads removed and repositioned, or the lower lid skin simply tightened with laser resurfacing. Unless otherwise specifically requested, the ethnic characteristics of patient’s eyes are not changed. Most patients return to work in 10-14 days when swelling and bruising is reduced.