65 year old patient who wanted to improve her upper and lower eyes as well as face and neck. She decided to start with the eyes and do facelift surgery at a later date. After examination and consultation Dr. Lee determined that she did have a lot of skin redundancy in the upper eyes and protrusion of fat pads in the lower eyes with deep troughs. Dr. Lee performed upper and lower blepharoplasty with fat transfer to the tear troughs and upper cheeks. There is a marked improvement and she is very happy with the results of her surgery.