Blepharoplasty is a procedure that removes excessive or redundant skin on the eyelids. On the upper lid this is more of a functional problem where excessive lid skin can constrict peripheral field of vision. On the lower lid, this is more often a cosmetic issue. Blepharoplasty is typically done with local anesthesia. The procedure takes forty minutes to one hour and involves removal of the excessive skin followed by placement of stitches to stabilize the skin margins allowing healing for the first week. The stitches are typically removed at one weeks' time. Everyone has some degree of swelling and bruising (black eyes) for the first two weeks afterwards. There is a gradual resolution of this, however, healing can carry on for at least six months afterwards.