This patient in her late 50s first presented for her lower eyes. She felt they always looked tired no matter how much sleep she got. This is because she had fat below her eyes that was protruding forward. This does create a tired appearance. We performed a lower eyelid blepharoplasty from a subtarsal incision (external incision). Notice how in the after photo the bags are gone and the incision is essentially imperceptible. She feels her eyes finally have a more rested appearance.