Not everyone with heavy eyelids is a candidate for eyelid surgery, and some people whose real problem is something else are told that they are. Our new guide walks through how candidacy actually gets decided at a facial plastic and cosmetic surgery practice: the baseline health criteria every surgeon applies, how upper, lower, and four-lid blepharoplasty are chosen, and the examination that separates excess eyelid skin from fat that has herniated forward and from true eyelid ptosis, which needs a different operation entirely. It also covers what the randomized evidence shows about dry eye after upper blepharoplasty, and who is not a candidate yet. Written by Dr. Robert J. Troell, MD, FACS, a board-certified facial plastic surgeon in Las Vegas who published a peri-orbital rejuvenation surgical protocol and its clinical outcomes in The American Journal of Cosmetic Surgery. Tap Learn More for the full candidacy checklist.