Revision upper blepharoplasty. This patient had eyelid surgery elsewhere that was treated as a simple removal of extra skin, but did not give him the ideal improvement he was anticipating. By taking the time to add in a brow fat pad suspension, redesigning the incision, and taking out some more skin, we were able to give him that more refreshed and youthful result he desired. We also avoided a brow lift as this can feminize a male patient. This is a great example of how there are subtle but very significant differences between your average surgery and high quality, meticulous surgery.