Upper blepharoplasty is a procedure to define skin creases or to improve the eyelid appearance by removing excess skin, and muscle, and may include fat. Not only for people with cosmetic concerns regarding the upper eyelid but this procedure is also indicated for those with excess upper eyelid laxity with disturbance of visual fields. Several conditions such as people with dry eyes, proptosis, clotting disorders, and photophobia may need a further assessment before going through the procedure. Preparation may include a detailed history of medical history and medications, smoking cessation, antiplatelet and anticoagulant withdrawal for about 1 week before surgery, and physical examination including eye examination.