We report a rare case of an elderly patient with Kimura's disease. A 79-year-old man had a subcutaneous mass on his left upper eyelid. The eyelid was swollen, and there was mild dermatochalasis of the left eye. Excisional biopsy and blepharoplasty were performed, and pathology identified the mass as Kimura's disease. To the best of our knowledge, this is the oldest such patient in Taiwan. Kimura's disease should be suspected in any age group if a painless unilateral adenopathy, hypereosinophilia and peripheral hyperimmunoglobulin E are present.