This patient, a woman in her 50s from Boston, MA, initially underwent an upper eyelid blepharoplasty to address heaviness and create a more refreshed appearance. Pleased with her outcome, she later proceeded with a lower eyelid blepharoplasty combined with fat grafting and a TCA peel for enhanced rejuvenation. She is shown here at follow-up with a smoother, brighter, and naturally refreshed look.