This patient in his mid-50s was bothered by the tired appearance of his eyes. The upper eyelids had skin weighing down his eyes and his lower eyelids had large bags. He underwent a blepharoplasty (eyelid lift) of both the upper and lower eyelids with fat removal. For the lower eyelids, he had a subtarsalexternal incision, yet the scar is essentially imperceptible. Notice in the after photo how natural and refreshed his eyes look. The lower eyelids have a smooth contour and the large bags are gone. The after photo is taken 4 months after his surgery.