CASE DESCRIPTION: This is a 58-year-old resident of Napa, California who presented to the Novato office in Marin County, California for evaluation of the upper face. Her complaints were the heaviness of the upper eyelids and the puffiness of the lower eyelids. She underwent an endoscopic brow lift as well as an upper and lower lid blepharoplasty. Her procedure was performed at Marin Cosmetic Surgery Center in Marin County, California. Note the natural and elegant appearance of her upper facial region.