This 45-year-old female did not like the appearance of her upper eyelids. She felt that the early laxity and excess upper eyelid skin made her look tired. After a thorough consultation with Dr. Steele, she elected to proceed with an upper eyelid lift (blepharoplasty) under local anesthesia in the office. She is shown 2.5 years postoperatively with a preserved and crisp upper eyelid.