This is a 56 old patient who complained of visual field obstruction and difficulty driving at night secondary to excessive skin of her upper eyelids and droopy eyebrows. She was seen and evaluated by her optometrist who referred her to Dr. Neaman at the Neaman Plastic Surgery consultation of periorbital aesthetic rejuvenation. After a detailed discussion the patient elected to proceed with an endoscopic brow lift in addition to an upper lid blepharoplasty. She is pictured here 4 months following her procedure with significant improvement in her brow position in addition to her upper eyelid skin excess. She has noticed significant improvement in her visual fields.