Yes. In all cases of upper eyelid blepharoplasty surgery there is excess skin in the upper eyelids. Removal of this excess skin is only possible with an incision in the upper eyelid skin. Fortunately, the skin of the upper eyelid is very thin and typically heals with little or no scarring. Furthermore, the incision site can be hidden in the crease of the upper eyelid allowing the incision to be hidden while healing. We often use absorbable sutures that do not require removal.