This is a 49-year-old, female resident of San Francisco, California who presented to the San Francisco office at Union Square for evaluation of her eyebrows and eyes. She underwent an endoscopic brow lift and an upper and lower eyelid lift. Her lower lid was performed through an external incision and muscular tightening. Her eyebrows were elevated 6 millimeters on both sides. The procedure was performed at Marin Cosmetic Surgery Center in Marin County, California.