Dr. Zelken approaches a younger woman with a thin face seeking lower eyelid rejuvenation. Just like facial aging, a gaunt appearance needs to be corrected just as much as loose or saggy skin. The knee is an awesome reservoir for fat, which is injected into the face BEFORE the skin is excised. Here, a classic skin-only lower blepharoplasty (eyelid lift) is performed where Dr. Zelken meticulously separated the paper-thin skin from the equally thin muscle underneath, then redrapes it after trimming 2-3 mm of skin. She looks very overcorrected at the end, mostly because of the numbing used in the lower eyelid surgery. Follow @zelkeninstitute on Instagram or visit www.zelkeninstitute.com for follow up pictures in 2-3 months.