The patient, a 73-year-old female, underwent lower blepharoplasty. The pre-operative image shows noticeable puffiness and skin laxity beneath the eyes. At the 12-month post-operative mark, the after image reveals a reduction in under-eye bags and improved contour of the lower eyelid area. The skin appears smoother with less visible sagging. These changes are consistent with the expected outcomes of a lower blepharoplasty procedure, which typically involves the removal or repositioning of excess fat and skin to address under-eye concerns. This case demonstrates observable improvements in the lower eyelid region following surgical intervention over a one-year period.