Eyelid surgery, also known as blepharoplasty, restores vision blocked by an excess of fat and skin in the eyelids, corrects puffy upper eyelids and removes bags under the eyes. In lower eyelid surgery, fat deposits under the eyes are removed by making an incision below the lower eyelashes. Excess skin and fat is removed to reduce swelling and puffiness. Upper eyelid surgery involves incisions made in the natural creases of the upper lids to get rid of excess skin blocking the vision or causing a droopy appearance. Transconjunctival blepharoplasty removes pockets of fat without the need to remove any skin via the use of tiny lower eyelid incisions.