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Blepharoplasty is a common procedure to rejuvenate the upper eyelids. As we age, the skin on the upper eyelids accumulates and becomes lax. There is also the accumulation of fat behind the upper eyelids. A blepharoplasty procedure involves the removal of skin and fat from the upper eyelids. Typically, the incision is placed in the eyelid skin and the excess skin that hangs over the crease is excised.