17 year old female, complained of inherited lower eyelid retraction, sclera show (white under colored part of eyes), under eye hollowness, and overall sad looking eyes. She wanted cosmetic eye improvement. She underwent cosmetic lower eyelid retraction repair (internal approach), canthoplasty, and tear trough (orbital rim) implants. The result is more attractive, almond shape eyes. Preop and 2 months postoperative photos are shown.