This healthy, vibrant, active and energetic female had noted a more tired dark circle look around the eye region and was interested in options for treatment. She was not interested in surgery. We were able to address the lower eyelid region with combination therapy using injection of hyaluronic acid filler and BOTOX® rather than surgery. Photos show her before and over 6 months after placement of the filler Juvederm® and BOTOX® to the cheek and lower eyelid region. The result is a more refreshed, natural appearance of her face. This patient’s care was provided by Dr. Christopher Tolan at Midwest Facial Plastic Surgery and Esthetic Skincare.