First, we measure skin in the upper lid. Then, the area is marked after a thorough cleaning. Next, we inject a local anesthesia to numb the area while limiting bleeding. Fourthly, we remove skin and a strip of eyelid muscle. Though, for some patients, the muscle stays for a more natural look. Next, we dissect fat pockets and take away extra fat. If the eyelid droops, a repair happens at this time. After three days, we remove the sutures. After a few weeks, you can’t see scars. Complications are rare and can include over tightening of the lid skin, bleeding, and incomplete removal of fat.