If you want to form a sleeping silkworm, you can do so through ophthalmic cosmetic surgery. Silkworms are skin bumps that form on the lower eyelid near the lid margin. They are formed due to the richness of localized subcutaneous fat deposits, and are related to the individual’s physique. It is more difficult to increase localized fat deposits through exercise and form silkworms. If the patient wants to form a recumbent silkworm, it can be achieved by performing ophthalmic cosmetic surgery. There are various surgical options to form the silkworms, such as localized subcutaneous implantation of autologous fat tissue or filling with sodium hyaluronate. Since cosmetic oculoplastic surgery must be individualized to take into account the features of the patient’s facial features, the patient must be examined in person before a specific surgical procedure can be designed. It is recommended that patients follow the doctor’s instructions for care after oculoplastic surgery, have regular checkups, and seek prompt medical attention when discomfort occurs.