Abstract: Excess skin removal and wound closure devices, such as blepharoplasty devices and methods, are provided. An exemplary device for excising excess skin (e.g. eyelid skin) and creating wound closure includes a base, a lever mechanism coupled with the base via a lever pivot, a locking mechanism, an elongate curved first jaw member in fixed relationship with the base and having a lower serrated tissue contacting surface, an elongate curved second jaw member in movable relationship with the base and having an upper serrated tissue contacting surface. The upper serrated tissue contacting surface of the second jaw member can face toward the lower serrated tissue contacting surface of the first jaw member. The locking mechanism can be releasably engageable with the second jaw member. The pivoting actuation of the lever mechanism can cause linear movement of the second jaw member relative to the first jaw member.