Blepharoplasty is one of the commonly performed aesthetic facial procedures with a marked effect on countering facial aging. However, lower blepharoplasty can be jeopardized by unfavorable aesthetic complications mainly sclera like show and lower eyelid ectropion. In this study that was carried out at Kasr alainy hospital on 30 patients, the effect of the orbicularis sling on reducing the incidence of scleral show was studied. During routine blepharoplasty, a strip of orbicularis was dissected from the skin flap and sutured to the lateral orbital wall at the level of the lateral canthus or slightly higher by two anchoring stitches to the underlying periosteum. Follow up of these cases over a period up to one year revealed the absence of scleral show in all cases with the restoration of a natural attractive sweep in the lower lid. Patient satisfaction was very high with only 2 cases of palpable knot that had to be excised after 4 months under local anesthesia with no effect on the aesthetic outcome. Orbicularis sling is a simple valuable adjunct in lower blepharoplasty that markedly reduces the incidence of scleral show. Key words: Blepharoplasty, Orbicularis sling, Periorbital Rejuvenation.