What kind of eyes are considered beautiful? Different ethnic groups have different aesthetic standards. It is generally considered that large, bright eyes with slender corners and clear, crystal clear eyes are beautiful; tiny, bloated, droopy eyes are not. Cosmetic eyelid surgery, including blepharoplasty, lower eyelid bag removal, inner and outer canthoplasty, and brow cutting plastic surgery. With the development of society, people are placing higher and higher demands on beauty. Families and society are also becoming more accepting of the idea of cosmetic surgery, with many mothers taking prospective college students about to enter college for blepharoplasty, and adult daughters taking their mothers for plastic surgery. The most common type of cosmetic surgery is blepharoplasty, which is a cosmetic eyelid surgery for patients with single lids or loose, bloated upper eyelid skin. 1. Who is or is not a candidate for blepharoplasty? Patients who are healthy, mentally fit, and actively request surgery for single lid or upper eyelid skin laxity and bloating are suitable for cosmetic blepharoplasty. Patients with local inflammation of the eyelid, eye disease, eye muscle paralysis, protruding eyeballs, and unrealistic requirements are not suitable for cosmetic blepharoplasty treatment. 2. What are the surgical methods of cosmetic blepharoplasty? The eyelid structure and shape is different for each person, so the surgical method used to form the eyelid is different. The suture method. This method involves suturing the dermis of the skin to the lid or levator tendon membrane, or directly ligating the skin and conjunctiva at the upper edge of the lid, relying on the scar adhesions created by the surgical trauma. This method is suitable for patients with thin upper lid skin and younger patients. The incision method. This method involves cutting the skin at the appropriate location on the upper lid, removing some of the orbicularis muscle or orbital fat, and suturing the skin incision to the lid or levator tendon membrane. This method is suitable for patients of any age, and is particularly suitable for older patients with lax and bloated upper lid skin. 3. How do I care for my blepharoplasty after surgery? Blepharoplasty can usually be done in an outpatient operating room and the patient can go home to rest after surgery. 24 hours after surgery, the dressing can be removed from the wound, eye secretions and blood crusts on the incision can be wiped away, and all sutures in the operative area can be removed 5-7 days after the incisional blepharoplasty. 4. What is the recovery after blepharoplasty? It is normal to have mild bruising or swelling in the eyelid area after blepharoplasty, and the swelling usually begins to subside in 5-8 days, and it takes 2-3 months for the swelling to fully subside. Blepharoplasty smoothes out the signs of age. Blepharoplasty is usually a sign of sagging and swollen lower lid skin caused by loose skin and fat accumulation in the orbital septum. This is manifested by the appearance of fine horizontal wrinkles or reticular wrinkles on the local skin, radiating wrinkles on the outer skin of the lower lid when smiling, or even the formation of skin pouches, and in cases of orbicularis oculi hypertrophy, a transverse band forms in front of the lid plate, which is more pronounced when smiling; the skin of the lower lid bulges outward; in severe cases, the lower lid drops down and even separates from the eyeball, which is what we call sclera (white eye) exposure or “lid ball separation”, mostly seen in the elderly. 1.What are the reasons for the formation of bags under the eyes? There are more reasons for the formation of under-eye bags, commonly bulging after the increase of fat, also seen in skin laxity, orbicularis oculi hypertrophy, lid plate laxity or orbital bone protrusion and other reasons. These deformities can exist alone or several at the same time. In general, eyelid skin and muscle laxity, orbital fat bulge, and lid laxity are often due to age, but orbicularis muscle hypertrophy and orbital fat bulge can be congenital. The age of surgery due to congenital factors is generally earlier, around 20 years old, while the age-related laxity deformity is often operated after 25-30 years old. 2.What are the methods of correcting under-eye bags? At present, there are two main clinical methods of blepharoplasty: transdermal pathway method and lower lid conjunctival pathway blepharoplasty. The former is applicable to any type of eyelid bags, and the latter is applicable to the correction of eyelid bags for young people. 3.How to choose the method of correcting under-eye bags? The choice of surgical methods to correct under-eye bags can depend on the local situation. If it is only fat bulging and the skin is not loose, orbital fat removal can be performed via the lower lid conjunctiva. This method has less damage, no skin incision, quick recovery, and is easily accepted by patients, and is suitable for young patients with good skin elasticity. If the skin is lax and the fat is bulging, the skin approach should be used. There are two types of surgical approaches, one is subcutaneous and the other is under the orbicularis oculi muscle. Since the fat tissue between the skin and the orbicularis oculi is very thin, the orbicularis oculi is often damaged during the separation, bleeding more, and hematoma is easily formed after surgery, so it is generally used sparingly. The suborbital pathway is a normal anatomical level with few blood vessels, little surgical bleeding, and quick postoperative recovery, and is used more often in clinical surgery. Through this pathway, partial removal of orbital fat, tightening of orbital septum, partial removal of orbicularis muscle (orbicularis muscle hypertrophy or relaxation), tightening of orbicularis muscle (orbicularis muscle relaxation) or partial removal of lid plate (age-related lid separation) and other auxiliary surgery can be performed according to the situation. 4.How to take care of the eyebags after plastic surgery? Blepharoplasty can generally be completed in the outpatient operating room, after surgery can be used to ice bags cold compress 24-48 hours, 24 hours after surgery can be removed from the wound on the dressing, wipe away eye secretions and incisions on the blood crust, 5-7 days after surgery to remove the sutures in the surgical area. Inner canthoplasty The eye fissure is the gap formed between the upper and lower eyelids, or what is commonly referred to as the eye slit. The length of a normal eye fissure should be equal to one-fifth of the width of the face, averaging 30-34mm in adults; the width of a normal eye fissure, the upper and lower diameter of the eye fissure, averages 10-12mm in adults, with the upper eyelid covering the cornea by about 1-2mm as normal. Since ancient times, we have had the rule of “horizontal three” and “vertical five”. The horizontal three refers to the three parts from the hairline to the eyebrow, from the eyebrow to the bottom of the nose and from the bottom of the nose to the lower edge of the chin prominence. The vertical five refers to the vertical five parts from the auricle to the external canthus, from the external canthus to the internal canthus, from the internal canthus to the contralateral internal canthus, from the contralateral internal canthus to the external canthus and from the external canthus to the auricle. It is important to note that even if the length and width of the eye fissure are within the normal range mentioned above, it is still not necessarily a normal eye fissure and it depends on whether it is in harmony with other organs such as the ear, nose, mouth, and eyebrows. Internal canthoplasty is a procedure to open the inner corner of the eye for patients with narrow lid fissures and severe medial canthus. It was first used in patients with widened inner canthus and severe canthus syndrome. With the increasing demand for better appearance, canthoplasty is increasingly used for patients whose inner canthus is covered by the skin crease at the inner corner of the eye, and whose inner canthus distance between the eyes is greater than the length of the eye fissure. Sometimes, in order to grow the eye fissure, external canthoplasty is also required. Opening the external eye angle is usually limited to the skin and muscle tissue level. 1.Who is suitable for opening the inner corner of the eye? Anyone who is in good health, mentally normal, with short round eyes, mild to moderate small eye fissures or reduced lid fissures due to congenital or severe trachoma. All of them can be considered for inner eye angle opening surgery. 2. What is the preoperative preparation for inner canthoplasty? Patients with high blood pressure and diabetes should inform the doctor of their condition during the initial consultation so that the doctor can confirm the surgical plan; do not wear makeup before surgery; and women should avoid menstruation. 3.What are the post-operative precautions for canthoplasty? Avoid getting water on the surgical area for 7 days after surgery; make sure the surgical area is clean to prevent infection. If there is blood crust or secretion on the wound, use sterile saline to wipe it; after surgery, you can apply pressure bandage to the local wound or apply cold compress with an ice pack, but the pressure should not be high to avoid damaging the eye. Once bleeding and serious hematoma occur after surgery, follow up with the hospital in time; the wound will be somewhat painful on the day of surgery, but it will gradually decrease with time. Patients should not rush to take pain relieving tablets because aspirin-based drugs can aggravate wound bleeding; avoid eating irritating foods such as chili peppers; strictly follow the doctor’s orders for medication and follow-up.