BACKGROUND: The surgical removal of redundant upper eyelid skin along with the excision of prolapsed anterior orbital fat is one of the most popular elective cosmetic surgical procedures performed today. OBJECTIVE: To provide a brief overview of patient selection and upper eyelid blepharoplasty technique. CONCLUSION: Through careful patient selection and preoperative evaluation in addition to a thorough knowledge of eyelid and orbital anatomy, good outcomes from upper eyelid blepharoplasty can be obtained.