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53 year old male (physician), with history of prior upper blepharoplasty done elsewhere, complained of looking tired and older. He underwent upper eyelid ptosis surgery (droopy eyelid surgery), transconjunctival lower blepharoplasty with fat bags repositioning (to correct both under eye bags and sunken hollow under eye giving dark circles), followed later by eyelid filler injection. Before and 3 months after cosmetic eyelid surgery photos are shown. Note natural, youthful results.