A telltale sign of the aging face is excess skin on the upper eyelid skin and lower eyelid bags. These changes can contribute to a “tired” appearance. Upper and lower blepharoplasty procedures (eyelid surgery) can correct these signs. Surgical blepharoplasty is a minimally invasive procedure that can be accomplished with little bleeding and a small incision. By removing skin and muscle, an upper eyelid blepharoplasty can give the eye a larger appearance. A lower blepharoplasty can remove pseudoherniated fat, or transpose it to provide a smooth infraorbital contour. Laser-assisted blepharoplasty was pioneered in 1980 and simplified after pulsed carbon dioxide lasers came on the scene. Laser-assistance helps mitigate bleeding during blepharoplasty. In ideal circumstances, the laser can be used as a multipurpose device that simultaneously offers cutting, cautery and blunt dissection capabilities.