Inclusion criteria  Women and men between 18-99 years With bilateral dermatochalasis and resulting visual field restriction Willingness and ability to comply with regular visits Signed informed consent form  Exclusion criteria  Any disease affecting wound closure/healing such as diabetes, connective tissue disease or non-medically induced bleeding disorders, known autoimmune disease, known tendency for hypertrophic scars or keloids; Untreated hypertension or metabolic syndrome, Smoker Asymmetric brow ptosis, Previous surgery on the eye lids Sequelae after facial nerve palsy Allergy or adverse reaction to any substance or material used. Active or chronic eyelid inflammation  Pregnant or breast-feeding women:  Women of childbearing potential (18-50) are not excluded form this study. Breastfeeding or pregnant women are however excluded, as bilateral upper eye lid blepharoplasty can be easily postponed.