28 year old female, complained of constantly looking tired because of her under eye bags. She has tried to cover it with makeup but not effective. She wanted a long term solution, rather than short-term treatment for hollow under eyes (dark circles) such as filler injection. She underwent cosmetic 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) plus conservative skin removal using skin pinch method. The cosmetic eyelid procedure was done under local anesthesia in the office, with quick recovery. Preop and 2 months postoperative photos are shown.