Not necessarily. Most superficial wrinkles and expression lines can be treated with Botox, Plasmage, or dermal fillers, so you do not need surgery to treat them. On the other hand, deep wrinkles and folds that form under your eyes as a result of skin laxity can only be improved with surgical procedures, such as blepharoplasty. Many people avoid eyelid plastic surgery because they are afraid of the possible complications of the operation. However, aesthetic eyelid surgery is very safe when performed by an experienced physician. What you need to understand is that some wrinkles can only be eliminated with surgery. Choosing the right surgeon is the most important factor when it comes to achieving natural results and avoiding any complications of eyelid surgery.