This 56 year old patient had prominent lower eyelid 'bags', which represent peri-orbital fat pads that have become prominent around the lower eyelid area. She was treated with a lower eyelid blepharoplasty using a technique that does not involve an external and visible incision. The surgical approach is through the back of the eyelid, and is called a transconjunctival blepharoplasty. Her surgery was completed by Dr. Scott Sattler of Seattle WA.