This patient had both upper and lower eyelid blephroplasty (eyelid lift). The lower eyelid blepharoplasty was done without external scar, via a conjunctival approach. Fatgrafting in the cheekbone area is a great addition to eyelid surgery, since it helps to smoothen out the crease below the lower eyelid.

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 Full blepharoplasty /upper lower with fatgrafting to the orbital rim