This is the case of a 53-year-old healthy female seeking upper eyelid cosmetic surgery. There is significant lateral hooding with excess skin hanging over the upper eyelids. She was brought to our private operating room and under local anesthesia had both upper eyelids cosmetically corrected. The lateral view shows the appearance of the upper eyelid lower half showing after minimal resection. The appearance is natural. The patient was very pleased with the results.