This 75-year-old had ptosis (droopy eyelids due to weak levator muscles) since since young. He did not seek help as he was able to see by lifting his head slightly. However, over the last 5 years, he was unable to see well even by lifting his chin by 45 degrees. This was because the ptosis has been compounded by dermatochalasis (droopy eyelids due to excess upper eyelid skin). To improve his vision, bilateral upper blepharoplasty was combined with frontalis suspension. The bottom picture was taken at 4 weeks follow-up.