46-year-old woman treated with Eyelid Surgery.

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This patient was a nonsmoker but had noticeable vertical lip lines and dark circles which made her look older than her 46 years. She grew up on the island of Guam and had premature skin aging due to sun exposure. She had surgery in stages, accompanied by body contouring surgery. First, she had fat injection of the lower face and perioral CO2 laser resurfacing, followed the next year by blepharoplasties, additional fat injection, and laser resurfacing. She went on vacation 2 months after surgery but was careful to use sunblock and avoided hyperpigmentation. Her dark circles and lip lines have been corrected.

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