How does eyelid surgery work? January 25, 2023 Before your blepharoplasty begins, local anesthesia will be administered. This is to ensure you are as comfortable as possible throughout the entirety of your procedure. Dr. Downey or Dr. Bullocks will then use either or both of the following techniques, depending on your biggest concerns and your desired results. They will discuss which techniques are best for you while developing your personalized treatment plan during your one-on-one consultation. Upper eyelid surgery. Upper eyelid surgery is best used to decrease the excess skin surrounding the upper eye that may be contributing to drooping eyelids or a tired appearance. Dr. Downey or Dr. Bullocks will carefully make a thin incision along the natural crease of your upper eyelid. Through this incision, they will tighten your weakened muscles and remove any excess fatty deposits, skin, and tissue. Lower eyelid surgery. Lower eyelid surgery is best used to improve the appearance of under eye bags. For lower eyelid surgery, Dr. Downey or Dr. Bullocks will carefully make a small incision along the lower lash line. Through this incision, they will be able to remove any fatty deposits or excess tissue that may be contributing to the appearance of your puffy under-eyes. Once either or both of the methods have been complete, Dr. Downey or Dr. Bullocks will suture your incisions and your recovery may begin.