Eyelid surgery (blepharoplasty) is a procedure to remove fat--usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel. It can add an upper eyelid crease to Asian eyes. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift, browlift, mid-face lift, or "break-thru implant".
"Break-thru silicone implants" can be used for patients with "dark circles under the eyes" due to bone defect (not enough bone projection of lower orbit). It can be done alone or in combination with lower lid blepharoplasty and/or with mid-face lift in older patients. Since bone defects are congenital -- and noticed already in very young adults with loss of body fat -- "break-thru implants" can be used in patients as young as their early twenties versus blepharoplasty for aging which is done later.