In 2007, there were 240,763 cosmetic eyelid procedures performed in the United States. According to the American Society of Aesthetic Plastic Surgeons, this was the third most common cosmetic surgery performed after liposuction (456,828) and breast augmentation (399,440). Blepharoplasty has become the most commonly performed cosmetic procedure in facial plastic surgery. In this article we will review the history of eyelid surgery, anatomy of periocular aging changes, preoperative and postoperative evaluation and management, surgical complications, revisional eyelid surgery, and some of the most recent advances in cosmetic eyelid surgery.