This is a lovely patient of mine that underwent upper eyelid surgery with me 4 months ago. One of the most common complaints that I get is that patients often look “tired”. They also complain that it is difficult to apply makeup, and they have to “lift up” their skin to get the makeup just right. This can be related to excessive upper eyelid skin drooping downwards secondary to the effects of aging and gravity. Surgery involves removing portions of excess skin, in addition to fat and muscle (if necessary). Surgery is designed to “restore” the upper eyelid crease as seen in this patient. Excessive resection can lead to a hollowed appearance that may make patients actually look older than they are.