This woman came to The Columbus Institute of Plastic Surgery for an Upper and Lower Blepharoplasty (eyelid surgery to remove bags under the eye and the loose skin). As you can see, she had quite a bit of puffiness and “bags” under the eyes as well as hooding on her upper eyelids. She did not like this because it made her look tired and she wanted that area to be more smoothed out and refreshed looking. Our top plastic surgeon – Dr. Bivik Shah performed the surgery. There is a small incision made under the lower lashes (that usually heals great!) and in the upper eyelid fold that once healed, is always hard to notice.. The after photo here was taken 5 months after surgery.