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Eyelid surgery, the fourth most popular surgical cosmetic procedure in 2004, with 233,000 performed in the United States, addresses the problem of baggy, drooping or puffy upper and lower eyelids. It is often performed alone, but can be performed in conjunction with a facelift or forehead lift. Although it is generally performed for cosmetic reasons, at times it is used to improve a person’s vision. It does not remove crow’s feet or wrinkles, eliminate dark circles under the eyes or lift sagging eyebrows.


Droopy eyelids can be hereditary, and if that is the case, the person may opt to have eyelid surgery earlier than the normal 35-plus age range more typical of this elective surgery. Some health conditions heighten the risks of eyelid surgery, including hypothyroidism, Graves’ disease, dry eye or insufficient tears, high blood pressure, cardiovascular disease, and diabetes. If the person has a detached retina or glaucoma, he should consult his ophthalmologist before undergoing eyelid surgery.