This 33 year old female presented to Dr.McLain complaining about “bags” under her eyes.  During her consultation she was offered dermal filler treatment or the more definitive lower blepharoplasty/eyelid tuck.  She decided for the surgical option and underwent a lower blepharoplasty done with internal incisions and fat grafting to the tear trough regions.  She recovered in about 1 week with minimal pain and loves her refreshed appearance.