Blepharoplasty will remove extra skin and can be used on the upper lid or on the lower lid. Your surgeon can either remove the fat or reposition it. It’s less about a patient’s age and more about how their eyelids appear. If volume loss is the problem, sometimes a better option is to use filler such as Restylane or Juvederm. Since the reason for the appearance of excess skin is different in each patient, I strongly recommend an evaluation with an experienced surgeon who can discuss all the options including surgery, fillers, fat injections, laser, and Botox, all of which may have a role in periocular rejuvenation.