Signs of aging in the orbital region are the ﬁrst to be noticed. Today, aesthetic blepharoplasty is a procedure tailored for the individual. A meticulous ophthalmologic examination of the patient and listening to their concerns and expectations are mandatory for a good result and patient satisfaction. The sayings ‘‘more is better’’ and ‘‘one operation ﬁts all’’ are no longer the general opinion on eyelid surgery. Aesthetic eyelid surgery has a unique position among other aesthetic surgical procedures, and the aesthetic surgeon has the major responsibility of creating a nearperfect surgical outcome. Asymmetries of as little as 1mm may compromise the ideal result and make the patient unhappy. Using the free beam UltraPulseT CO2 (UPCO2) laser (Lumenis Inc., Santa Clara, California, U.S.A.) as a superior incisional instrument to perform blepharoplasty, the surgeon may better recognize the supporting structural deﬁciencies (because of the ability of the ‘‘light scalpel’’ to cut and cauterize simultaneously) thus producing almost perfect postoperative symmetry. The advantages of using the UPCO2 laser are evident: minimal intraoperative bleeding and, thus, superior visualization, shorter operating time, and reduced postoperative bruising and swelling.