The cost of any cosmetic procedure depends on the city you live in and the expertise of the person who is doing the work. For example in Canada, there may be several thousand general plastic surgeons and only several hundred facial plastic surgeons. Oculoplastic surgery is a subspecialty area that only deals with plastic and reconstructive surgery of the eyelids. In Canada, we only have about 50 oculoplastic surgeons, of which only about handful do cosmetic eyelid surgery regularly. For example, over the course of a typical week, a busy cosmetic oculoplastic surgeon may do 5-10 blepharoplasty surgeries per week, compared to someone who doesn't specialize in eyelid surgery may do blepharoplasty surgery 2 to 3 times per month. The more of a particular type of surgery you do, the better you get at the nuances of that surgery and obtaining consistent results (it doesn't matter what type of surgery we are referring to). In general lower blepharoplasty surgery is more expensive than upper blepharoplasty because it is technically more difficult and much more nuanced. There are lost of options for lower blepharoplasty: external vs internal techniques, fat removal vs fat repositioning vs fat grafting, co2 laser resurfacing vs skin pinch, canthopexy vs no canthopexy, etc. In Toronto, the cost for upper blepharoplasty ranges from 4000$-6000$ compared to the cost for lower lid blepharoplasty which can range from 5000$-7000$