Blepharoplasty is a cosmetic procedure performed on young adults or middle-aged adults in their 40s. The procedure is a little different in older adults who have loose skin, sunken eye sockets, and atrophied and softened lids. First, in older adults with sagging upper lids, a portion of the skin needs to be removed to resolve the aesthetic problem of excess skin, and sometimes the skin may extend to the lateral orbital rim. It is generally not advisable to perform upper and lower lid surgery at the same time to avoid severe swelling and inconvenience after surgery. Also, because of the poor elasticity of the skin in the elderly, post-operative swelling is more pronounced and recovery time is longer due to the fact that blood circulation is not as good as in younger people, and the elderly in China generally want to be more natural after surgery, so it is better to be conservative when estimating the area of skin to be removed to avoid ectropion. In addition, middle-aged and elderly people tend to have sagging skin throughout the face, so if there is a desire for wrinkle removal, it is best to have it done first, so that eyelid wrinkles can be improved to some degree, and then eyelid surgery can be done so that it can be more accurately positioned. In addition, middle-aged and elderly people need to take into account their physical condition, especially cardiovascular disease, diabetes, hypertension, etc., to avoid accidents.