Drooping eyelids and tired, puffy eyes are instantly rejuvenated with the excision of the extra skin and tissue. Depending on your goals, an upper eyelid excision, or lower eyelid excision or both will be performed if needed. Dr. Fezza often uses a laser which reduces bruising, shortens surgery time and provides an extremely precise and fine incision. Upper Eyelid Blepharoplasty Removal of excess skin and fatty tissue corrects droopy, sagging eyelids. Lower Eyelid Blepharoplasty Removal of fat deposits and loose skin corrects bags under eyes. Dr. Fezza often uses a hidden incision inside the eyelid on the lower lids, there is no skin incision. He may even suggest a laser and peel to resurface or polish the lower lid skin.