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Age 35, height 5’4″, weight 135 pounds. She had a loss of volume on her upper eye lids and concerns regarding “sagging” skin. She was hoping for a more youthful appearance, and did not like having a “tired” look. She had bilateral upper and lower lid blepharoplasties with minimal skin resection, oricularis reduction, minimal superficial fat resection, and fat grafting at the infraorbital rim and malar areas. Procedure was done in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results shown at 2 years.