This patient in her late 40s sought refinement of hooded upper eyelids and skin looseness that created a tired appearance. An incisional Asian upper blepharoplasty was performed to gently remove excess skin and fat while forming a refined, natural double eyelid crease. The result is a brighter, more youthful eye contour with improved definition, preserving elegance and ethnic harmony while restoring a rested, refreshed look.