As we age, changes in skin collagen content and elastic fiber distribution lead to decreased skin elasticity, poor retraction, degenerative changes in muscle and fascia tissue, thinning and reduction of subcutaneous adipose tissue, weakened support structure support, and gravity, causing the upper eyelid skin to sag and the upper eyelid to lose its natural smooth shape, and in severe cases the sagging skin may obscure vision and form a pseudo upper eyelid ptosis. For aging and excess lax skin the amount of excess tissue can be removed through minimally invasive surgery to improve the aging face for rejuvenation purposes. 1. Indications and contraindications Indications include upper eyelid skin laxity, while the position of the eyebrow is basically normal and there is no significant ptosis, and those who have eyebrow ptosis can opt for upper eyebrow incision for upper eyelid skin laxity correction. Contraindications include psychological disorders or unrealistic requirements; hypertension, diabetes and other systemic chronic diseases that have not been controlled; and acute and chronic infections in the periocular tissues. 2. Surgical steps Depending on the degree of upper lid laxity, the skin at the lower edge of the eyebrow is designed to be removed and the incision may include 1 to 2 rows of eyebrow hairs, depending on the situation. If ptosis is present, the incision and removal of skin can be designed over the eyebrow. After local infiltration anesthesia, the skin under the brow is excised according to the designed line with subcutaneous subcutaneous peeling below the incision. To maintain a lasting result, the subcutaneous and frontal bone periosteum may be fixed with sutures. 5-0 absorbable threads are used to reduce tension to close the subcutaneous, and 7-0/8-0 nylon threads are used to close the skin intermittently or continuously. Postoperative pressure dressing is applied and stitches are removed 7 days after surgery.