Blepharoplasty is performed to rejuvenate the upper and lower eyelids. This is often one of the earliest procedures patients seek to correct the signs of aging or even inherited traits including excessive sagging or baggy skin, puffy eyes and perhaps a tired look to the area. The excessive skin and/or muscle is removed and fatty tissue is either conservatively removed or repositioned to maintain the normal fullness associated with youthful eyes. The normal almond shape of the eyes is preserved. The procedure can be performed under local anesthesia as a solitary procedure or under general anesthesia in combination with other procedures. Often periorbital laser resurfacing is performed in conjunction with Blepharoplasty to further tighten skin and address wrinkling beside the eye in the crow's feet area.