This young lady has very full eyelids not from aging but inheritance. Attempting to effect big changes can be problematic; if a lid appears a certain way in youth, it's because "that's the way the natural connections are put together." Making drastic alterations is more a matter of body modification than cosmetic restoration as it is in most patients seeking eyelid surgery.
Upper blepharoplasty was undertaken with the goals of moderate debulking and creation of a low but clearly defined crease. In contrast to most eyelid surgery on older patients, tissues thinned included skin, muscle, and orbital (preaponeurotic) fat.