When we are introduced to someone for the first time names and pleasantries are exchanged and we look each other in the eyes. And that is where that so important first impression is made. And that is where subtle, or not so subtle, changes in appearance can be achieved. Removing the redundant upper eyelid skin, correcting a “droopy” tired appearance or removing bags caused by unwanted fat under the eyes can result in a much more refreshed and brightened presentation. And this is where most patients should consider starting. The most significant change for the least downtime may be achieved by addressing the eyelids first in most patients.