Trapezoidal debulking is an upper blepharoplasty technique used to resect preaponeurotic tissue in the Asian eyelid. The technique offers precise, physiologic results and requires few steps compared to other tec­hniques. Generally, some skin excision is required to achieve the desired results—however, when skin exci­sion is not desired, a triangular cross-segment of tissue can be removed instead (Fig. 36.4). Clearing of tissue layer by layer is not recommended, as this can result in uneven treatment of layers. Instead, tissue should be cleared in a single, trapezoidal block. A correctly performed trapezoidal debulking technique will result in wound edge approximation without excess tension. In fact, the eyelid crease created by this technique can be observed prior to wound closure. The technique relies on minimal fat excision in order to prevent a sunken sulcus.