This female patient from Boston, MAs, in her 40s, sought treatment for under-eye hollowness, dark circles, and lower eyelid puffiness. Dr. Vickram Tandon performed a lower eyelid blepharoplasty with fat transfer to the tear troughs to address under-eye bags and restore lost volume. At 9 months post-procedure, her results show a smoother lower eyelid contour, improved tear trough volume, and a brighter, more refreshed appearance. The patient is very pleased with her natural-looking results.