The patient is an Asian man who had difficulty seeing and felt aged secondary to extra upper eyelid skin. He had an upper blepharoplasty (removal of eyelid skin). Asian blepharoplasty is a different operation than the one performed on Caucasian patients. The skin is thicker, the incision goes in a lower location, and the medial (towards the nose) lid must be handled carefully. The operation must be performed in a way which gives improvement, maintains function of the eyelid (a bit of extra skin is needed to protect the eye – like a roll top desk), and preserves ethnicity.