As a person ages, the skin surrounding the eyes tends to lose elasticity and the area under the eyes accumulates excess fat. This can cause the face to appear bloated, giving it an older appearance. In severe cases, sagging skin can hinder normal eyesight. Blepharoplasty is a surgical procedure that can restore a youthful appearance to the eye area. The upper and lower eyelids are lifted and excess fat cells or loosened skin are removed from the affected area. The procedure is limited to the eyelids and does not attempt to improve other areas of the face.