The aesthetic importance of the periocular area often prompts requests for surgical alteration or improvement. The complex array of anatomical differences in this area, coupled with a wide range of patient ages, taxes the examination and consultation skills, as well as the operative ingenuity, of the surgeon. Blepharoplasty and browlift in the non-white patient have not received their fair share in the English literature. Nevertheless, these procedures are applicable, perhaps even in the keloid-prone patient.