This 66 year-old woman felt her upper eyelid areas had excess skin that made her look tired, angry, or “severe” in mood. Her brows were too low (at the upper eye socket rim), giving her eyelid “hoods” (the appearance of too much upper eyelid skin). She had a normal hairline that allowed elevation of her brows via a totally hidden scalp incision, eliminating the “pseudo-excess” without upper eyelid surgery at all. She also had her frown muscles inactivated permanently, giving her a “Botox-like” removal of frown lines while still allowing normal forehead and brow movement when she wished to show expression. Her outpatient operation was performed at Minneapolis Plastic Surgery’s accredited in-office surgical facility under a light general anesthetic that utilized no inhalation (gas) anesthetics and avoided nausea, vomiting, or unplanned hospital admission. After photos are at 5 months post-op; note the brow position and improved upper eyelids (no eyelid surgery, only brow lift).