Here we have a very pleasant lady, 61 years of age, from North Scottsdale, Arizona who desired to look younger and healthier. He top priority was her upper eyelids, which she complained were droopy and heavy and requested cosmetic eyelid surgery. She also was concerned about the puffiness and wrinkles of the lower eyelid. She discussed with me her wishes for facial and neck rejuvenation. After listening to her carefully, I recommended cosmetic eye surgery, including an upper eyelid lift, a lower eyelid lift with fat removal, and a facelift and neck lift. She had her surgery at a local plastic surgery center and made an excellent recovery. Her before and after photos are shown 6 months after her procedure cosmetic eyelid surgery. At her last visit, she commented that friends appreciate that she looks younger. She told me the best part of her eyelid lift surgery is the definition achieved in the eyelid crease. She likes that her eyelid creases are very crisp and smooth. She also noticed that there are less wrinkles in the lower eyelid and the fat pockets are gone.