Improvement to brow position and crows feet around the eyes are made with a brow lift more than eyelid surgery or blepharoplasty. Brow lift is often performed in combination with eyelid surgery to rejuvenate the whole upper face. Dark circles under the lids caused by shadows can be improved with lower eyelid surgery, volume rejuvenation with fat grafting or filler. If the skin itself is pigmented, then skin care on top of surgery or volume replacement is needed to optimize results. A cream to help with pigmentation is typically added to the regimen post operatively.