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Blepharoplasty can rejuvenate puffy, sagging, drooping or tired-looking eyes by tightening muscles and tissue or removing excess fat and skin from the upper and/or lower eyelids. The eyelid, because its skin is much thinner than that in other parts of the face, is often one of the first facial areas to exhibit signs of aging. Blepharoplasty ( eye bag surgery) is one of the most commonly performed facial cosmetic surgery procedures.