This 47 yr old presents with not only excess skin and fat of all four lids, but a low set brow as well, again often a family trait. She underwent a bilat lower bleph, removing skin and fat and then an open Brow Lift, with nothing done to the upper lids. Post op, at 7 months she looks much more refreshed. Her right brow is a bit higher than her left, as it was pre-op.