Bothered by eye-bags, this patient came to see me to discuss her treatment option. She presented with a significant pseudoherniation of the fat pads below her eyes which is a condition where orbital and eyelid fat starts to come forward and become more visible in the under-eye region. She also had excess skin below the eyes. She is seen here before and 12 weeks after a lower blepharoplasty with a lateral canthopexy.