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This is a 69-year-old female patient who underwent an upper and lower eyelid blepharoplasty. She wanted to address excess skin and fat at her upper and lower eyelids. She underwent a bilateral upper and lower blepharoplasty with skin and fat pad removal, as well as eyelid tightening (canthopexy). She also underwent fat grafting to her face. She is seen 4 months after surgery.