CASE DESCRIPTION: This is a 58-year-old resident of San Francisco, California who presented to the San Francisco office at Union Square for evaluation of the upper and lower eyelids. His complaints were the heaviness around the upper eyelids and the crepe and hollow appearance of the lower lids. He underwent an upper and lower eyelid lift or blepharoplasty with fat injections to the mid-face area. His procedure was performed at Marin Cosmetic Surgery Center in Marin County, California. Note the natural appearance of the eye region and the impact that the fat injections have made on creating a more youthful appearance and a more pleasant transition between the cheek and the lower eyelids.