Double eyelid surgery, also known as blepharoplasty, is part of blepharoplasty. Beautiful and attractive eyes are not simply a matter of making a nice pair of eyelids; the goal of blepharoplasty is to get a beautiful pair of big eyes, not a big pair of eyelids. First of all, the goal of blepharoplasty is to give a person a beautiful pair of big talking eyes, not to simply add a pair of clearly visible artificial eyelids to the original, so it is, in a sense, a comprehensive procedure, and high-quality blepharoplasty can have a significant improvement on the shape, size, eyelash curvature, and fat thickness of the eyes. With so many surgical options available, it makes absolute sense that a fear of choice would set in. Because of the individual differences in each person, it is a key step to successful double eyelid surgery to fully understand the doctor’s past cases before surgery and to do adequate pre-surgical communication with complete aesthetic approval and trust. 1, due to the irreversibility of the incision method, and usually there will be more obvious surgical traces, so that many candidates who aspire to permanent double eyelids discouraged, would you recommend more reversible double eyelid surgery? In fact, the double eyelid effect made by the incision method has the advantages that cannot be replaced by other surgical methods, and it is a procedure that I personally recommend. When it comes to the problem of more obvious post-operative scarring, successful incisional double eyelid surgery can achieve almost the same natural trace effect as the buried wire surgery, and the bruising and swelling of the eyes can be controlled to about a week. Incisional blepharoplasty is a very technically demanding procedure for every plastic and cosmetic surgeon. Many people have a preconceived notion of reversible suture blepharoplasty because it is less invasive, but in fact, the indications for suture blepharoplasty are relatively narrow and require more stringent eye conditions, requiring tight, non-sagging eye skin and a moderate thickness of the fat layer. Generally speaking, most people with single eyelids are born with a little more laxity in the eye area, and usually only some young people can meet the pre-operative requirements. For candidates over 30 years old, most of them will recommend the incision method. 2. Some candidates are recommended to undergo simultaneous open eye surgery and upper eyelid liposuction during consultation, enhancing their fear of surgery, are these surgeries necessary? Ethnically speaking, Chinese people belong to the Mongolian subspecies, and many people with single eyelids have eyes with typical Mongolian fold features, smaller eye fissures, and a more rounded shape of the inner corner of the eye. In this case, if you just do double eyelids to increase the width of the upper and lower eye fissures, it will make the eyes look short and round, which is not beautiful. Therefore, the doctor will recommend the candidate to open the inner or outer corner of the eye according to the specific facial proportions. Generally speaking, the inner eye angle opening surgery requires a high level of skill, so you must choose a regular medical institution with experienced doctors, otherwise it is easy to leave obvious plastic surgery marks and more difficult to repair. High-quality outer eye surgery generally has no plastic surgery marks, while poor quality surgery will likewise have obvious scarring. As for candidates with thick eyelid fat, I would recommend the incision method, where a portion of the upper lid orbital fat can be extracted at the same time as the surgery with the same incision, without secondary wounds. 3. The inability to definitively know the post-operative results has discouraged many candidates who are looking forward to double eyelids from having the surgery. With the current technology, is there a way for the patient to be accurately informed of the post-operative results? For example, a virtual computerized result chart. From the point of view of pure computer technology, it is not difficult to draw the post-operative effect, and similar software has been developed abroad. But in fact, due to the light, angle, expression and different states of people in a day, it is difficult to simulate the fine plastic surgery of soft tissues by computer, and because of the richness and variability of human facial expressions, the computer can only simulate simple static effects. In addition to static effects, double eyelid surgery also involves dynamic processes when expressions change, which requires personalized treatment by the surgeon based on experience, and is difficult to render completely with computer images. Therefore, my advice to candidates is to learn more about the surgeon’s previous surgical cases and find a surgeon whose aesthetic and technical skills meet your requirements. In addition, from the doctor’s point of view, I hope that the candidate will have rational requirements for his or her post-operative results. The beauty of the face must be based on the premise of the coordination of the five senses, for example, some candidates are obsessed with the pursuit of European and American style wider double eyelids, the final result may not necessarily be beautiful. Beauty is diverse and people are also different, everyone has their own characteristics and personalized beauty, therefore, a high level doctor will design the most suitable surgery for the candidates according to their eye conditions, such as skin thickness, eye convexity, cornea diameter, facial bone state and many other factors, in order to achieve the most ideal state.