42 year old woman has 4 lid bleph with no "visible incision approach"

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A 42 year old patient came to see Dr. Kass for a consultation, complaining she felt that her eyes looked old and tired all the time. After deep thought and consideration, she proceeded and had a four lid blepharoplasty procedure (the lower eyelids were done through a transconjunctival “no visible incision” approach). 

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