17 year old girl, with inherited sad looking eyes, secondary to lower eyelid retraction (worse on left side) with scleral show and under eye hollowness, wanted to have more attractive almond shape eyes. She underwent lower eyelid retraction correction (internal approach, without graft, conservative midface lift), canthoplasty, and tear trough silicone implants. Preop and 2 months postoperative photos are shown.