38 year old who presented with complaints of a tired look, excess skin over the upper eyelids, fullness over the lower lids and prominent tear troughs. Upper and lower blepharoplasty were performed. She is shown three months after upper and lower blepharoplasty. Note the removal of excess upper eyelid skin with appropriate exposure of the eye shadow space in the after photos. The fullness beneath the lower eyelids had also been addressed; this was done using a transconjunctival approach without external skin incisions, thereby avoiding a visible scar. The fat beneath the lower eyelid was not removed but moved into the cheek to produce a smooth transition from the cheek to the lower eye lids.