Blepharoplasty is one of the more common cosmetic procedures, with most candidates being over the age of 40. The upper lid blepharoplasty is an exceedingly simple and gratifying procedure to perform, with few side effects or complications. By contrast, the lower lid blepharoplasty is a more complex procedure, requiring skill and expertise and accompanied by the possibility of more complications, some of which can be severe. Both upper and lower lid blepharoplasty are well within the range of dermatologic surgeons, many of whom perform this surgery on a regular basis.