Over the years, both the upper and lower eyelids can begin to look puffy and stretched. This is caused by fat herniation, which causes bags under the eyes along with sagging skin. Blepharoplasty can correct these issues while restoring a more bright-eyed and youthful appearance. Dr. Yao uses a delicate technique to reduce the fat under the eyes and create a smooth contour in the tear trough. Some patients need extra skin removed, while others do not. When external incisions are needed, a very fine stitch is used to create a scar that is nearly undetectable after healing.