49 year old woman who came to Dr John Lee with concerns about her aging face in particular her upper and lower eyelids. There was sagging in the upper lids and her eyebrow on the right side was slightly lower than on the left. There was signifcant fat pouching and bulging of the lower lids with deep depressions in the tear troughs. Dr Lee performed upper and lower blepharoplasty with a right brow pexy to raise the right eyebrow. He also did fat transfers to the tear troughs and cheeks. Patient looks much younger and refreshed and is very happy with the results of surgery.