Blepharoplasty. Over time, the upper and lower eyelids can appear droopy or baggy. This is due to excessive skin and the bulging of fat pads that naturally surround and cushion your eye. This is mainly due to the natural aging process. This is alleviated surgically on an outpatient basis and under local anesthesia. The incision is made in the eyelid crease so a scar is virtually unnoticeable. The excess skin and bulging fat is removed, leading to a younger and more rejuvenated appearance.