It is rare to consider upper or lower eyelid cosmetic surgery before the age of 30. Except in rare cases where patients have congenital eye defects, notably prominent pockets of fat or conversely a very hollow ring requiring eyelid surgery. Most often the skin of the upper eyelids becomes heavy after the age of 40, while the skin of the lower eyelids begins to wrinkle around the age of 30 but does not require surgery until the age of 40.