Upper eyelid surgery is typically performed by excising the excess skin of the upper eyelid, recreating the upper eyelid crease, and removing any excess fat if needed. The lower eyelid surgery is most commonly done through an incision under the lower eyelid. Fat is removed to smooth out the bags under the eyelids and improve the appearance. This can also be combined with skin resurfacing of the lower eyelid to optimize results. Removing lower eyelid skin is occasionally done if there is a significant amount of excess skin in the lower eyelid.