Upper eyelid blepharoplasty is a procedure in which excess skin, muscle and fat are removed from the upper eyelids. It enables the crease in the upper eyelid to be seen again (the crease located behind the eyelashes) which becomes hidden by excess skin with the passage of time. Operational marks are made with the patient seated and lying down, with eyes open and closed. Under local anaesthetic (sometimes with medical sedation) an incision is made in the skin, following these marks. Then the excess of skin and orbicolaris muscle and any excess adipose tissue that has herniated from the inside of the eye orbit are removed. The incision is then sutured. This procedure does not lift the eyebrow, although sometimes it is possible to raise the eyebrow skin slightly, using the incision already made.