I was “ blessed “ with heavy eyelids and crows feet starting in my 30’s, so in my 40’s I had upper and lower blepharoplasty. I am now 60 y old, and look better than I did in my thirties. It has totally held up,minimum wrinkles. I do use eye serum with retinol, all the “brightening” serums and day and night eye cream. Have trouble wearing night mask, I have never completely closed my eyelids at night, got worse after blehp.