Upper-eyelid blepharoplasty in the Asian patient poses unique challenges. The anatomy is complex and highly variable, and the esthetic goals vary from patient to patient. The surgeon must perform more complicated maneuvers than in Caucasian blepharoplasty in an anatomic field with features that predispose for complications. The successful surgeon must identify the features of the eyelid to be modified through a detailed consultation with the patient, formulate a sound surgical plan based on a mastery of the complex anatomy, and execute all maneuvers with conservatism and exact precision.