This lady consulted regarding periorbital rejuvenation and her options to help open her eyes include both non surgical and surgical techniques or a combination. An upper lid blepharoplasty can bring the brow lower and in patients where the brow is already low one has to consider a brow lift to improve the position of the brow. Lifting the brow will open the eyes without the requirement for skin to be removed. A brow lift and an upper blepharoplasty can be performed at the same time although one needs to carefully run through the pros and cons of this during a consultation. The results are seen at 6 weeks postop.