Three-month post-operative view of a patient who exhibits in the pre-operative photos on the left significant hooding of the upper eyelids secondary to excessive upper eyelid skin and low positioned eyebrows. In addition, he was concerned about the tired, aged look of his lower eyelids secondary to excess and wrinkled skin and fat deposits. His excessive upper eyelid skin was so prominent that it was the cause of a visual field loss and, thus, was considered a functional problem that allowed for insurance reimbursement. Post-operatively, the patient's vision improved after removal of the excessive skin. A direct browlift was done which involved an incision directly above his eyebrow hairs that healed well and is barely visible. Excessive skin and fat were taken from both his upper and lower eyelids again with virtually undetectable scars which now allows for a more youthful and open appearance to his eyes.