An eyelid or eye bag reduction (blepharoplasty) removes the surplus skin and protruding fat I this area to produce a more alert appearance. It also reduces the morning swelling. Sometimes it is only necessary to reduce the skin, sometimes the skin and the fat, and at other times just the fat. If only the fat is being removed from the lower eyelids, then this can be removed from the inside of the lower eyelid avoiding an external excision (transconjunctival blepharoplasty).