46 year old patient who wanted to improve her eyelid appearance. She thought they made her look older than she actually was. On examination Dr Lee determined she did have skin redundancy in the upper eyelids and large fat pads in both lower eyelids which resulted in deep tear troughs. Dr Lee performed upper and lower eyelid surgery and fat transfer to the tear troughs and cheeks. After surgery the patient looked great and was very happy with the results.