Localized scar hyperplasia occurs after eye opening surgery, which usually does not disappear on its own and can usually be improved with treatment. Eye opening surgery usually refers to the inner canthus surgery, is a common way of ophthalmic cosmetic surgery, mainly used for the treatment of the inner canthus and other ophthalmic diseases, but after the surgery, the incision site is easy to heal with scar formation, scar tissue usually does not disappear on its own. Patients can follow the doctor’s instructions and apply silicone gel ointment locally to promote the absorption and fading of the scar, which can improve the patient’s symptoms. If the scar proliferation is more obvious, patients can be surgically removed or laser treatment to lighten the scar. Patients should maintain strict hygiene of the surgical site after eye surgery and avoid rubbing the incision site to reduce the risk of scar tissue hyperplasia. It is recommended that patients following eye surgery follow the doctor’s instructions for care, have regular checkups, and seek prompt medical attention when discomfort occurs.