In summary, the author has presented a brief historical review of the various operations under the general heading of blepharoplasty for the removal of redundant and "baggy" eyelid skin. The various conditions encountered which contribute to the aging eyelid and periocular area have been described as they relate to examination of the prospective candidate for this surgery. The need for individualizing the surgical procedure to correct the defects present has been stressed. The author's preoperative care, the surgical technique employed, and the postoperative treatment needs are discussed. Selected cases are presented as examples of the variety of conditions encountered and the methods of management.