Periorbital changes in men occur similarly to in women and may result in a need for correction through blepharoplasty. Lower lid techniques vary, but the authors prefer a transconjunctival approach that may extend into a retroseptal approach in men. Using this approach, excess fat can be excised and even redraped with orbitomalar retaining ligament release. Optimal outcomes are achieved when the surgical technique is targeted to correct the palpebromalar and nasojugal grooves, which are often the main concern for patients presenting to the office. Lower lid stabilization, support/tightening procedures are critical to prevent lower lid malposition and to ensure complete restoration of a youthful lower lid contour.