A 41-year-old patient came to Dr. Lee with concerns about the skin flap in her upper eyelids as well as the bags under her eyes. She presented with prominent lower eyelid fat protrusion, deep tear troughs and loss of volume in upper cheeks. Dr. Lee performed upper and lower blepharoplasty with fat transfer to the lower eyelids and upper cheeks. In her words: “my eyes look so refreshed and youthful…very natural results. I would trust him with any work”.