This lady came in with chronically irrirated red eyes due to ectropion following previous blepharoplasty surgery with skin removal. Dr McKinstry performed lateral canthoplasty to tighten the lower eyelids at the outer corners as well as a mid face lift to elevate the cheeks and take the weight off the lower eyelids. The SOOF incision was hidden behind the eyelids. After surgery, the eyelids were elevated to their normal position and the patient was very happy to have comfortable eyes once again.