Eyelids (Blepharoplasty)Changes in the upper and lower eyelids are some of the first signs of aging. The skin can become droopy, causing you too look tired and sometimes can even impair your vision. The skin thins and becomes more crepey in appearance. The underlying fat pads can become more visible giving the appearance of bags under the eyes as well. Upper and lower blepharoplasty are surgical procedures designed to address these signs of aging.