Eyelid crowding, or eyelid skin hanging down to the lashes is a common visual and cosmetic complaint. As we age the skin of the eyelids loses its elasticity causing it to hang down to the eyelashes. The skin can lead to visual obstruction and patients often notice that they have to lift their brows or hold their lids up to see. The extra skin and fat that bulges near the nose can also have cosmetic implications that are often bothersome. A blepharoplasty can often be covered by insurance if certain criteria are met, including visual obstruction. Blepharoplasty are done in an outpatient setting with or without sedation depending upon the patient’s preference. Recovery typically consists of no heavy, lifting, or bending for 3 days, icing for the first 1-2 days, and swelling and bruising for 1-2 weeks. Dr. Scruggs can evaluate if your are a candidate for cosmetic or insurance covered blepharoplasty.