The lower eyelid and associated anatomy represent a complex structure that is key in facial aging and rejuvenation. There are numerous ways to address this region and some of the more common treatment options are discussed in this article. A review is presented of the diagnosis and popular treatment options to address the most common aspects of eyelid aging. The author has performed cosmetic lower eyelid surgery using transconjunctival blepharoplasty with skin resurfacing for the past 12 years, with pleasing results and low complications. Lower eyelid rejuvenation is one of the most commonly requested procedures in a cosmetic surgery practice. A firm understanding of the complex anatomy of this region is paramount to successful treatment. Although many methods exist for addressing this region, some techniques are more prone to postoperative complications. The author has had continued success with hundreds of patients by performing transconjunctival lower eyelid blepharoplasty with CO2 laser resurfacing, chemical peels, or skin-pinch procedures. These procedures are safe, predictable, and have a place in the armamentarium of contemporary cosmetic surgeons.