On the 10th day after total eyelid incision, eyelid strain and severe dark circles are mostly caused by eyelid swelling and subcutaneous bruise, patients can follow the doctor’s instruction to use local hot compress, massage and medication to promote the eyelid swelling to subside. After double eyelid surgery, because of the wound on the eyelid, patients may experience eyelid swelling, subcutaneous bruising and other uncomfortable symptoms, resulting in dark circles under the eyes that look serious, eyelid straining performance. Patients can use hot compresses and periocular massage to promote the swelling of the eyelids to subside and the absorption of subcutaneous bruises to improve the discomfort. If patients have similar symptoms due to eye infections, accompanied by eyelid redness, burning, conjunctival congestion and other discomfort symptoms, patients can follow the doctor’s instructions to use antibiotic medication, such as levofloxacin eye drops, erythromycin ophthalmic ointment, etc., to control inflammation and alleviate the discomfort of the eye. Patients also need to avoid staying up late and over-exerting their eyes, which can lead to poor blood circulation and aggravate the dark circles under the eyes. It is recommended that after double eyelid surgery patients follow the doctor’s instructions for care, regular checkups, and timely consultation after discomfort occurs.