Periorbital rejuvenation through blepharoplasty: Current concepts and surgical perspective

Blepharoplasty remains a cornerstone procedure for rejuvenating the periorbital region, addressing skin laxity, fat protrusion, and eyelid malposition. Contemporary approaches have shifted toward conservative tissue handling, anatomical preservation, and volume maintenance to achieve natural, harmonious results. This review outlines current surgical techniques, including upper and lower eyelid blepharoplasty, brow lifting, and canthopexy, alongside non-surgical modalities such as fillers, chemodenervation, and laser therapies. Recent innovations such as fat repositioning, septal tightening, and minimally invasive or endoscopic approaches offer enhanced esthetic outcomes while reducing complications such as hollowing, asymmetry, or post-operative dry eye. Comprehensive pre-operative assessment, individualized planning, and meticulous surgical execution remain critical to maximizing safety, function, and patient satisfaction.