Blepharoplasty is aimed to reduce the excess of the skin of the eyelids as well as any swelling or sagging of the fat around the eye. These common effects of aging can result in a tired or sad facial expression. Some minor corrections in the upper lid can be easily corrected in the office with a little bit of local anesthesia in under an hour. More involved procedures will be done as an outpatient procedure. While most eyelid procedures are performed for cosmetic defects, some individuals experience a loss of their visual fields as a result of overhanging skin.