To those unfamiliar with oculoplastic surgery, the subtle, natural change provided by a cosmetic blepharoplasty may make the procedure seem simplistic though this view misses the essence of blepharoplasty. Blepharoplasty finds its origins, like many surgical techniques in ancient India (6th century) with Susruta, who is often described as “the Father of Surgery”, in his description of techniques for eyelid reconstruction. The modern era of blepharoplasty began with German surgeon Karl Ferdinand von Graefe in 1818 we coin the name blepharoplasty while using meticulous dissection techniques and skin grafting to correct eyelid ptosis and functional defects with minimal scarring. Blepharoplasty as a means of cosmesis likely began in 1896 when Japanese surgeon Mikamo Nagai performed the first double eyelid surgery, which soon found popularity in East Asia. It, along with aesthetic facial surgery in general, was further popularised in the 20th century by French surgeon Suzanne Noël – the first female plastic surgeon. More recently, advancements in electrocautery, magnifying loupes and fine sutures increased precision while minimally invasive techniques including transconjunctival blepharoplasty enabled orbital fat repositioning through inner eyelid incisions, avoiding visible scars. Similarly, laser blepharoplasty has reduced recovery times while contemporary orbital fat preserving techniques have created more natural-appearing and longer-lasting results. This presentation will provide a chronological history of blepharoplasty techniques while acknowledging the pioneering surgeons whose contributions enabled the paradoxically simple appearing procedure that is performed today.