This lovely 64 year old lady was bothered by the puffiness of the lower eyelids and the excess skin on the upper lids. Dr. Brace performed a transconjunctival (incisions inside the eyelid) lower blepharoplasty to reposition the fat causing puffiness and removed the excess upper lid skin. He performed canthoplasties to tighten the lower lid and give the lateral canthus (outer corner of the eye) a sharper look.