Upper and lower eyelid surgery are performed differently because upper eyelid surgery is performed to remove and tighten sagging skin in the upper eyelid, while lower lid surgery typically adjusts the fat pad and skin below the eye.  In some cases, muscles will be tightened to create long-lasting changes supported by the surrounding eye area. Changes in the skin and muscle contribute to many common signs of aging in the eyes. By removing excess skin of the upper lids, Dr. Bared can also improve a patient’s vision when the lids impair vision.