Upper lid blepharaplasty is performed on patients which have hooding over the eyes with sagging of the skin and/or muscle and in some cases excess fat protrusion. The procedure consists of a moon shaped incision in the crease of the upper lid, with the excision of the excess skin, muscle or both, and in some cases partial removal of the excess fat. The procedure is one hour long and can be performed under local anesthesia or sedation. Short term recovery is one week and the stitches are removed after five to seven days. Risks and complications including infection and bleeding which are extremely rare.