Tough the essential blepharospasm is not a rare disease, it is usually missed and treated unreasonably. Myectomy of protractor muscles of eyelid and eyebrow is the method of choice in treating essential blepharospasm. Through bifrontal coronal incision and blepharoplasty in-cision we can resect corrugator, the procerus and orbicularis oculi muscles and can correct the brow ptosis and dermatochalasia of eyelid simultaneously. Despite releasing blepharos-pasm, patient’s cosmesis is also improved dramatically. We recommend myectomy via bi-frontal coronal incision and blepharoplasty incision in treating essential blepharospasm.