This patient began coming into our office for facial wrinkles and has undergone treatments to his forehead and glabella with Botox and to the deeper lines around his mouth (nasal labial folds and marionette lines) with Restylane. He was also frustrated with the puffiness and wrinkles around his eyes. After discussing, the patient decided to undergo upper and lower eyelid surgery to remove the saggy, puffy skin and excess fat around his eyes. In addition, he chose to undergo full laser skin resurfacing to address his wrinkles and attempt to diminish the appearance of sun spots. The patient was very pleased with his results and continues to visit our office.