After a previous upper eyelid surgery left her dissatisfied, this 67-year-old patient sought a more natural, refreshed appearance. Her treatment included revision upper blepharoplasty to address persistent fullness of the upper eyelids, lower blepharoplasty, and fat grafting to the tear troughs, cheeks, and around the mouth to restore youthful volume. The result is brighter, more open eyes with smooth, natural contours while preserving the character of her face. Before surgery, she often wore sunglasses to appointments because she felt self-conscious about her eyes. Today, she is proud to show them.