The standard blepharoplasty is typically focused on anti-aging of the upper and/or lower eyelids. The eyes show their age early, causing sagging skin, wrinkles, and changes in a person’s resting expression. Blepharoplasty is performed to brighten and refresh the eyelids by resolving under-eye bags, removing excess skin, and repositioning fat for a more youthful appearance.  Double eyelid surgery is a variation on the traditional cosmetic blepharoplasty. Instead of focusing on signs of aging, the procedure addresses a common trait of Asian eyes—the absence of a natural eyelid crease. By strategically removing skin in the upper lids, a skilled plastic surgeon can create a crease, opening up and enhancing the appearance of the patient’s eyes.