Heavy or sagging eyelids can block the side or peripheral vision when driving, reading, or playing sports. There can be inflammation with skin rubbing on other excess layers of skin. Fatty tissue can come forward as the eyelid becomes thinner with time and create a puffy appearance. In some cases insurance may cover the removal of the excess skin if it is causing severe loss of side vision. In many cases, it is considered a cosmetic procedure. Removal of excess skin and fatty tissue, also known as blepharoplasty, can usually be done with numbing medicine and no further anesthetics. Patients are comfortable and the procedure lasts less than thirty minutes. Afterwards, patients may go home and relax.