29 year old Asian female, complained of under eye dark circles and looking tired. She was tired of putting make up on to partially cover the problem. She underwent transconjunctival lower blepharoplasty with fat repositioning (using hidden stitch-less incision inside the lower eyelid, the fat pocket were redistributed to fill the hollow tear trough area), under local anesthesia in the office, with quick recovery. Note smooth under eye area after surgery with resolution of the under eye dark circles and bags. Before and 1 month after cosmetic lower eyelid blepharoplasty photos are shown.