43 year old who presented to discuss options for upper and lower eyelid surgery. The excess skin at the upper and lower lids of the eyes are really starting to bother her and age her more than she feels. She also does not like the “bulging” appearance at the lower lids. She wants a very natural looks and does not want her face to look as if surgery was performed. She had bilateral upper and lower lid blepharoplasties with minimal skin resection, orbicularis 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 4 months.