It is eyelid surgery. It can be made for both functional and cosmetic purposes. It is the most common method used to repair upper eyelids or puffy lower eyelids that start to sag with aging. Excess tissue such as skin or fat is removed or replaced and may be supported on surrounding muscles and tendons. It can be for functional or cosmetic purposes. Blepharoplasty is an elective surgical procedure that is mostly performed for cosmetic reasons.