Irish entrepreneur Paulie Connell, engaged to Real Housewives of New Jersey star Dolores Catania, has revealed that he underwent a lower blepharoplasty to remove excess eyelid skin following his dramatic weight loss. The procedure was performed by New Jersey surgeon Dr. Mark Karolak and can be performed on the upper eyelids. Connell revealed that the procedure made a significant difference in his overall self-confidence and that it's okay for small adjustments to improve health and self-esteem. The blepharistoast is an increasingly popular cosmetic surgery.