CASE DESCRIPTION: This is a 27-year-old resident of San Francisco, California who presented to the San Francisco office at Union Square for evaluation for a lower eyelid lift (blepharoplasty). Her complaint was the fullness under the eyelids. She underwent a transconjunctival blepharoplasty at Marin Cosmetic Surgery Center in Marin County, California. A transconjunctival blepharoplasty is done through the interior of the eyelid; therefore, there is no external incision. The photos are seen six months after surgery.