The patient is a 55 year old woman complaining of a tired and angry appearance. She underwent an upper eyelid blepharoplasty, with removal of skin and fat from the upper eyelids, and a lower eyelid blepharoplasty, with removal of fat from an incision made on the inside of the eyelids. The lower eyelids were also tightened to give her a more almond-shaped eye. An incision was also made just below the eyelashes of the lower eyelids to remove excess skin and a small amount of fat was injected to blunt the tear troughs. Even six weeks after surgery, the incisions are hardly perceptible.