A blepharoplasty is done to remove or reposition the tissue around the eyes to improve the way they look. This can involve removing excess eyelid skin, removing or repositioning the underlying orbital fat, and possibly tightening or repositioning the lid margin. Each patient is different, however, and not all patients will benefit from all of these maneuvers. The results of a blepharoplasty are long lasting, however, they are not permanent because as patients age, the eyes and face continue to age. Tissues become more lax, the face drops, and volume is lost. A second blepharoplasty can often be performed, however, a detailed examination will help delineate the best surgical option. Consultation with a plastic surgeon would be the next best step.