Blepharoplasty plays an essential function in facial rejuvenation, with direct aesthetic relation to the forehead and the cheek. Upper and lower eyelid blepharoplasty are indicated for the remedy of excess skin and/or orbital fat. Preoperative evaluation should encompass an intensive clinical and ophthalmic history, alongside with a detailed cutaneous and eye examination. Symptoms of pre-existing dry eye should be elicited preoperatively, as they at once correlate with postoperative complications. Physical exam must not forget forehead position, eyelid ptosis, lower eyelid position, and cheek projection.