I had upper eyelid surgery 20 yrs ago, age 40, for ptosis. All went well, scars near invisible. But now I think it needs doing again and maybe the lower lids too? I have seen an Oculoplastic surgeon, who feels only the upper lids need doing. To remove 10mm of excess skin and trim the fat pads in the upper nasal area. He says to look at skin tightening options for the lower lid with laser or CO2 etc. It is the lower lids that bothers me most, having slight festoons now. Opinions appreciated.