Objectives: Blepharoplasty has become one of the most common esthetic procedures performed today1. There exists three techniques for lower eyelid blepharoplasty including transcutaneous approach, orbicularis musculocutaneous flap technique and transconjunctival approach. In this paper, the primary introduction of the lower eyelid blepharoplasty by oral approach is made. Indication is including the middle aged or young patients without the need of skin resection. Methods: Ten patients from 27 to 45 years old participated in this study with twenty lower lid blepharoplasties, including one with the history of lower lid injury and another one having operated before with irregular regional skin especially that approaching the inferior border of orbit requiring re-operation. With infraorbital nerve block anesthesia, vestibular groove incised and dissected to the infraorbital foramen beneath the bone membrane with preservation of the infraorbital nerve. With exposing of the orbital septum along laterals of the infraorbital nerve to the inferior border of orbit, fat tissues extruded. Herniated fat tissues were removed. Results: Cosmetic results were obtained by all the patients with disappearance of baggy lower lids and natural transition of skin smoothly under the inferior border of orbits. Natural and harmonious condition presented in the states of static and motive for lower eyelids and surrounding tissues for the new technique made no disturbance to the elevator muscle of inferior palpebra. Oral incision healed without infection. Five cases with numb sensation in the region of infraorbits recovered within 3 months. One more severe patient rehabilitated completely 6 months later. Conclusions: Oral approach for blepharoplasty without visible scar might be another good option for young and middle-age patients suffered from lower eyelid pouches.