Drooping eyelids contribute to an aged appearance and may affect vision, especially laterally.  Excess skin is surgically removed under local anaesthetic and sedation to correct this. Fat pads may prolapse downwards accentuating this problem and the fat pads may require debulking at the same time.

Eyelid tightening with a CO2 laser can improve the eyelid shape and firm them. This may be an additional therapeutic option.