This is a 38-year-old, female resident of Novato, California who presented to the Novato office location in Marin County, California for an eyelid evaluation. Her complaints were the slight heaviness of the skin of the upper eyelids, but mainly the puffiness of the lower eyelids. She underwent an upper and lower eyelid lift or blepharoplasty at Marin Cosmetic Surgery Center in Marin County, California. Her photographs were taken approximately nine months after surgery. Note the natural appearance of the eyelids and her more youthful appearance.