As we age, the upper and lower eyelids become lax and saggy with an aged and tired appearance. Professor Huang Weiqing, a renowned expert at Concordia Hospital, is here to help you solve this problem. Blepharoplasty is divided into two categories: external and internal: External: This is a procedure that removes excess fat, skin, muscle, and fat from the upper and lower eyelids, commonly referred to as “Blepharoplasty”. Blepharoplasty can correct sagging upper eyelid skin and lower eyelid bags, but it cannot completely remove crow’s feet and eyelid wrinkles, nor can it eliminate dark circles or lift sagging eyebrows. Upper and lower blepharoplasty can be performed separately or together. Blepharoplasty is also often performed in conjunction with other facial cosmetic procedures, such as a face lift or brow lift. Indications and Contraindications: Patients with hypothyroidism, inadequate tear production, hypertension, cardiovascular disease, diabetes, retinal detachment or glaucoma are generally not candidates for blepharoplasty. Surgical Approach: The surgical incision for the upper lid is located in the area of the heavy lid crease; the lower lid is located at the lower edge of the eyelashes and may extend laterally to the outer crows feet of the eye. Through these incisions, the skin is separated from the muscle and fat, excess fat is removed, and excess skin and muscle are trimmed. Finally, the incisions are closed with very fine sutures. Post-surgical management: After the procedure, the eyes are often lubricated with eye ointment and wrapped with a dressing. After recovery from anesthesia, the eyes may feel sore and painful. Pain medication recommended by your physician may be used. If you feel severe pain and swelling, contact your doctor promptly. Avoid lowering your head and moving around too much for several days after surgery. Local cold compresses and compression may reduce swelling and bruising. Significant swelling of the eyelid may last for about a week. The duration of bruising and bruising is between 2-4 weeks. The line is folded 5 days to 1 week after surgery. Strenuous exercise should be avoided for several weeks after surgery, especially exercises that raise blood pressure such as body bending, weight lifting and other strenuous exercises. Wound healing is a gradual process and redness will persist for more than six months. Internal procedure: Suitable for patients who do not have lax eyelid skin, are young and have only lower lid fat herniation. Some younger patients with only lower eyelid bags and good skin elasticity can have the fat removed via the lower lid conjunctiva so that no surgical marks are left on the outside. The procedure is performed by forming a 2-4 mm incision on the conjunctival surface of the lower eyelid, separating and removing the bulging orbital fat and stopping the bleeding with electrocoagulation, and the procedure is complete. It takes only 20 minutes! Post-operative antibiotic eye drops for 3 days are sufficient and no bandages are needed. Ice packs can be applied that night and the swelling can be reduced in three days. No skin incision, surgery on Friday, you can go to work on Monday without being noticed, currently it is a good choice for working people!