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This 51 year-old Sonoma County woman desired improvement in premature facial aging. She felt her upper face made her look tired. On exam she had redundancy of the upper eyelid skin as well as a brow position that was low. At our Santa Rosa plastic surgery suite, she underwent an endoscopic brow lift as well as upper eyelid surgery. Her postoperative result shows a more rested, youthful look with improvement in both the upper eyelids as well has her brow position.