51 year old patient from Portland who came to Dr Lee wanting to improve her eyelid appearance. She had excess skin in her upper eyelids and fat pads and excess skin in her lower lids. She also had noticeable tear troughs and a flattening of her cheeks. Dr Lee performed upper and lower eyelid surgery. He also did a fat transfer to her tear troughs, cheeks and upper nasolabial folds. The patient is very happy with her improved looks.