A. A blepharoplasty is often called an eye lift, eyelid lift or even just a "bleph." Blephs are one of the most common requests, and a standard procedure in cosmetic surgery. Blephs are performed on either the upper eyelids, under the eyes (lower eyelids) or both. The upper bleph is intended to address excess skin that occurs as we age. In fact, an upper bleph is also the procedure that can help men and women who have such excessive skin on their upper eyelids that inhibits the peripheral vision. Aesthetic surgeons often call this "hooding." In these extreme cases, it is possible that insurance may cover a portion of the costs. For the under eye area, blephs can address puffy, tired looking eyes. In certain cases, fractional CO2 laser skin resurfacing under the eyes is recommended to tighten the skin and reduce wrinkles.