Cosmetic eyelid surgery (blepharoplasty) can be performed on the upper lids only, lower lids only, or on all four lids (four lid blepharoplasty).  The goal of surgery is to create a natural and youthful surgical result.  This can only be accomplished with a meticulous preoperative examination of the patient and an equally detailed discussion of patient desires and expectations.  When this is done appropriately, the process is satisfying to patient and physician, and the results are excellent.

Below is an example of a before (left) and after (right) surgery photograph of a patient who underwent upper and lower lid blepharoplasty. Note the significant inporvement in appearance.