Blepharoplasty Eyelid lift surgery, also called blepharoplasty, is usually an optional (elective) cosmetic surgery for repairing sagging or drooping upper eyelids (also called ptosis). Ptosis may be caused by weakness of the muscle responsible for raising the eyelid, damage to the nerves controlling those muscles, or loosening of the skin of the upper eyelids. Although most blepharoplasties are done to improve appearance, some people have excessive ptosis that interferes with their vision. For these people blepharoplasty is required to improve eyesight. Blepharophasty can be done under local anesthesia with sedation or under general anesthesia with the patient deep asleep and pain free. The procedure involves making incisions in the natural creases or folds of the eyelids, removing loose skin and fat tissue, and tightening the eyelid muscles. The incision is then sutured or closed with stitches. Scars may remain slightly pink for 6 months or more after surgery. These eventually fade to a thin, almost invisible white line. The end result is a more attractive and youthful appearance. Eyelid repair is sometimes combined with other facial cosmetic surgery. Patients should consult their surgeon for a complete explanation of the procedure and its associated risks and complications.