This handsome gentleman in his late 60s, presented to Dr. Pennington after noticing that he constantly appeared tired, despite being rested. He also had decreased peripheral vision and felt his eyes were tearing. After a full medical evaluation and determination of medical necessity, he underwent a brow lift, an upper and lower eyelid lift(blepharoplasty), and tightening of the lower eyelid(tarsal strip). Since surgery, he has noticed that his vision has improved, tearing resolved, and he appears more rested and youthful. His results are very natural appearing, none of the incisions are noticeable, and he is very happy with the results.