This gentleman was a 67-year-old who desired consultation regarding his eyes. He had noticed that his eyes had become “droopier” over time even to the degree where it interfered with his vision. Physical examination demonstrated both excessive upper eyelid skin as well as brow ptosis or droop. Because of the brow descent, a brow lift was needed in addition to an upper lid blepharoplasty. He also wanted the lower lids addressed, he did not like the bagginess and loose skin. Therefore he had a direct brow lift performed (because of his male pattern baldness, the incisions for direct brow lift are located directly above the eyebrows, to hide them). He also had upper and lower blepharoplasties, with fat grafting. Results are shown at eight weeks.