Eyelid surgery can be a longer-term solution for concerns such as sagging skin around the eye, hollowness or dark circles around the eyes or eyelid bags when topical creams fail to achieve desired results. There are multiple techniques used in eyelid surgery, which can be combined to achieve a patient’s desired result. Three types of eyelid surgery Dr. Ransom performs are: lower blepharoplasty (lower eyelid surgery), upper blepharoplasty (upper eyelid surgery), and Asian blepharoplasty (double eyelid or eyelid crease surgery). Lower blepharoplasty can correct drooping skin in the lower eyelid and/or the bulging of the lower eyelid because of extra fatty tissue by using the patient’s own fat pads to fill in hollow areas and removing loose skin. Upper blepharoplasty involves the removal of tissue in the upper eyelid crease, which can cause droopy or heavy eyelids. Asian blepharoplasty is performed to create a more full appearance and create a visible upper eyelid for people of Asian descent, who may have subtle anatomical differences in their eyelids. Generally, Dr. Ransom performs these procedures under mild sedation or local anesthesia.