Blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and lower eyelids. It can be a cosmetic procedure and can also improve vision by lifting droopy eyelids out of the patient's field of vision. The procedure is usually performed with local anesthesia in as little as 45 minutes. The procedure can be combined with a facelift or BOTOX® treatments to raise the eyebrows or reduce the appearance of wrinkles, crow's feet or dark circles under the eyes.