Lower eyelid blepharoplasty is one of the more complex areas of the face to address. There are numerous anatomic factors and patients factors to consider. Including the amount of fat that is protruding from the eye socket. The position of the eye relative the cheek, the amount of excess skin and whether the patient has any laxity in their lower eyelid. Obtaining a medical history is also important including information about history of dry eye or constant tearing. Any history of eye surgery including Lasik is also critical information.