This patient had previous upper and lower eyelid surgery and felt over time her upper lids had become more crepey and saggy as well as her lower eyelids with bags and crepey skin with fine lines. She also wanted to refine her nasal tip - making it more define and narrow. We performed a revision upper eyelid lift as well as a revision lower eyelid blepharoplasty with fat repositioning with CO2 laser resurfacing. Lastly I performed a very delicate rhinoplasty to give her nasal tip more definition and make the tip less wide