This 60 year old woman had full and heavy upper eyelids without a visible crease, and significant volume loss and hollowing in the lower eyelid and upper cheek region. The overall effect was that people always told her that she looked tired or asked her if she was sad. During her consultation with Dr. Ransom, she discussed these issues and others, and decided on an upper eyelid lift (upper blepharoplasty), lower eyelid lift (extended lower eyelid blepharoplasty with orbital fat transposition), facelift (rhytidectomy), and fractional CO2 laser resurfacing. After her procedures, she looks well-rested and confident, with the youthful fullness restored to the lower eyelid and upper cheek area. She is happy to be able to wear eye shadow and mascara now, too!