Drooping upper eyelids, hooded eyes, or skin that’s started to obscure your natural eye shape are usually down to skin and fat that builds up with age. Blepharoplasty removes the excess to restore a smoother, more open eye contour, and in some cases can even improve vision where skin has started to affect your eyeline.

Puffiness or bags under the eyes often aren’t about tiredness, they’re fat sitting below the lower lid that doesn’t shift with sleep or skincare. Rather than simply removing it, Dr Cotrufo often repositions that fat to restore volume in the hollows just below, treating the whole under-eye area rather than just the bag itself.