The delicate skin and supporting structures around the eyes stretch more easily as we age. The upper lids begin to droop, creating a “hooded” look. In the lower lids this drooping ispresent as “bags” and creates a tired appearance. Your vision can even be impaired in some severe cases. Severely sagging skin around your eyes can reduce your side vision (peripheral vision), especially the upper and outer parts of your field of vision. Eyelid rejuvenation surgery does not only involve the sagging eyelid skin but rejuvenation of the complete periorbital area. When this area loses volume and the skin becomes inelastic, it is the first sign of looking tired and you also lose your youthful bright appearance. Blepharoplasty surgery alone, involves the removal of eyelid skin. This is still indicated where you may n have loose skin and swollen, puffy bags. The goal is to enhance the face by improving the volume around the eyes and fill the loose skin and hollows in the upper and lower eyelids and temporal area. Fillers can be used to enhance facial features.The modern blepharoplasty, therefore, understands that a youthful eyelid is a full eyelid. The surgeon will need to replace lost tissue and inflate the loose skin rather than only removing and tightening the skin.