This is a 42-year-old woman presenting for upper eyelid blepharoplasty (eyelid rejuvenation). She has excess upper eyelid skin with the supratarsal crease becoming obscure. The goal of upper eyelid surgery is to remove the excess skin and redefine a crisp supratarsal crease. At times fat pocket need to be removed but not hollow the upper eyelids. She underwent upper eyelid blepharoplasty with post op photos 3 months post procedure. The procedure can be performed awake with local anesthetic and light oral sedation.