This gentleman has had an upper and lower lid blepharoplasty. He is 5 weeks postop and still has significant redness of her scar and swelling. The appearance has improved and over time the scars will fade. Massage is important during this time. Even at an early stage one can see the improvement in the contour of the lower lids and the naso jugal fold. The tear trough and the malar areas the most difficult regions to address. A midface lift has been performed at the same time to try and improve the aesthetic junction of the lower lid and the cheek.