This is a 72 year old female who visited with Dr. Neaman at his office in Salem, Oregon. She was dissatisfied with the excessive skin of her upper eyelids in addition the frequent comments of looking tired or angry. She also had functional concerns of visual field obstruction. During the consultation Dr. Neaman explained that excessive skin and brow ptosis were the cause of her tired appearance. At an accredited outpatient surgery center Dr. Neaman performed a endoscopic brow lift with upper lid blepharoplasty. She is very happy with the significant improvement in her peri-orbital aesthetics.