64 year old female, complained of bags and puffiness below her eyes. She underwent lower transconjunctival blepharoplasty (stitchless incision inside the lower eyelid) with fat repositioning. Therefore, the bags were eliminated while filling the hollow tear trough area at the same time. This cosmetic eyelid procedure was performed under local anesthesia. Preop and 3 months postoperative photos are shown.