Blepharoplasty surgery, also called an eye lift, as excess skin and fat from the eyelids is removed to improve vision and create a more refreshed and youthful appearance. This procedure is also done to remove puffy bags under the eyes. Eyelid surgery, or blepharoplasty, can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and/or lower eyelids. Eyelid surgery may be performed for cosmetic reasons or to improve sight by lifting droopy eyelids out of the patient’s field of vision.