Blepharoplasty is one of the most vital components of facial rejuvenation. Traditionally, the removal of excess tissue may or may not be the preferred approach in line with modern cosmetic goals. Understanding the anatomy of the eyelid and eyeball is essential to comprehending aging around the eyes and determining the appropriate surgical strategy. Preoperative evaluation is crucial, including the patient’s perception, anatomy, and a proper eye examination. Surgical techniques used in blepharoplasty are quite diverse and vary depending on the patient’s individual anatomy and aesthetic diagnosis. Considering the eyebrow, the lower frame of the eyeball, and other structures related to the eyelid is important for achieving the ideal result. In traditional methods used in the past for periorbital aesthetics, achieving a beautiful and youthful-looking eye solely through tissue removal is unrealistic, as it does not fully correct the problem of aging facial features. If new methods are well understood and applied, the classic complications and risks frequently seen in traditional methods can be avoided. The fundamental principles for achieving youthful eyes are as follows:

Controlling the aesthetics of the periorbital area by properly positioning the eyebrow and creating the indentation of the crease above the eyelid; re-establishing the position and tension of the outer corner of the eye, along with the angle between the inner and outer corners; adjusting the tension and position of the lower eyelids; preserving the maximum possible amount of eyelid skin, muscle, and eyeball fat tissue in terms of eyelid function and aesthetics; lifting the midface; correcting the depressions in the lower cheek area, known as the tear trough, extending from the inner corner of the eye to the cheek; controlling the amount of fat tissue in the eye socket; removing only excess tissue; and making some skin changes to eliminate prominent lines…