During upper eyelid blepharoplasty, the excess skin, muscle and fatty tissue that have created a sad or tired appearance are simply removed through a tiny incision hidden in the crease of the upper eyelid.
1 Contraceptive patch: more than 99% effective if used correctly. Less than 1 woman in 100 will get pregnant in a year when using the contraceptive patch.  Vaginal ring: more than 99% effective if used correctly. Less than 1 woman in 100 will get pregnant in a year when using the vaginal ring.
In the United States alone, 13 million women use hormonal contraception to protect their health and prevent unwanted pregnancy. 9 Birth control pills are one of the best-studied medications available, with over 50 years of data backing up their safety and effectiveness.8 Furthermore, women using birth control are not the only ones flushing estrogen down the drain. Pregnant women excrete high levels of natural estrogens, and nearly everyone (both women and men) produce some amount of natural estrogens also released into wastewater.