Aging is a natural process of life development. Human tissues start to age gradually from about 30 years old, and facial skin wrinkles are the inevitable product of skin aging. The thin skin of the upper and lower eyelids is one of the earliest areas where wrinkles appear. 1. What are the common signs of eye aging? When the skin of the upper eyelid is sagging, it forms many folds that hang downward, making the lid fissure smaller and more distorted. This type of skin laxity is known as pseudo ptosis, but in combination with severe trachoma and chronic conjunctivitis, it can lead to entropion and impingement of the eyelid, which can seriously affect your life and appearance. The best treatment is surgery to remove the lax skin and correct the entropion or impingement. The sagging skin and fat of the lower lid form what we usually call “eye bags”. There are 3 main reasons for the formation of bags under the eyes: ① sagging of the orbital septum and weakness; ② atrophy and thinning of the orbicularis oculi muscle; and ③ sagging of the skin. These 3 factors may cause eye bags alone, but more often than not, the above 2 or 3 factors act together, resulting in the weakening of the strength of the orbital front support structure, so nowadays, in addition to the skin flap method and myocutaneous flap method, there is also the combined application of several methods such as suture reduction of the orbital septum. 2. Who is most suitable for blepharoplasty surgery? Blepharoplasty can improve your appearance and boost your self-confidence, but it may not achieve the ideal state you require or impress others. Any type of blepharoplasty surgery is a revision of the original foundation of the eye, and will result in a significant improvement over the pre-operative period, but it is important not to make it a myth that you can change your face once you have surgery. Therefore, you should carefully consider your expectations before deciding on surgery. People who are best suited for blepharoplasty are those who are in good health, mentally stable and have realistic expectations. Surgery is available for all causes of drooping eyelids, eyelid defects, eyelid entropion, and eyelid deformities. People with congenital single eyelids who wish to have a pair of double eyelids can also achieve their desired goal through eyelid surgery. 3. Are there risks associated with surgery? All surgeries have certain risks and some uncertainties. When eyelid surgery is performed by a professional oculoplastic surgeon, complications are uncommon and usually minor. Nevertheless, the possibility of complications still exists. For example, anesthesia accidents, infections, etc., so it is important to follow medical advice before and after surgery to minimize the occurrence of accidents and complications. 4. What preparations should be made before surgery? Before performing blepharoplasty, the surgeon will need to know the patient’s health status, the patient’s allergy history, and whether or not he or she normally wears glasses. In addition, the surgeon will carefully discuss the patient’s goals and expectations for the surgery and explain the specific procedure, the type of anesthesia, whether the surgery will be performed in an outpatient or inpatient setting, and the associated risks. During the discussion, patients should promptly ask the surgeon about the problems they face, especially their expectations and concerns about the outcome of the surgery. The patient’s pre-surgery preparation includes dietary precautions as well as preoperative medications and methods of facial cleansing. Patients should follow their doctor’s instructions to the letter in order for blepharoplasty to proceed smoothly. The patient should also be accompanied home or hospitalized for 1-2 days after surgery. 5. What is the post-operative care? After the anesthesia wears off, the patient may feel tightness and pain in the eyelid. If the pain is severe, the patient should see a doctor immediately. Patients should elevate their head for several days after surgery or apply cold compresses to reduce swelling and bruising (the degree of bruising varies individually and is most severe in the first week after surgery and can last 2-4 weeks). You can watch TV after 2-3 days after surgery, and you should minimize your activities for 3-5 days. You should not wear contact lenses for 2 weeks, and avoid excessive activities for 3 weeks, especially activities that raise blood pressure, such as bending, lifting and strenuous exercise, and you should also avoid alcohol. The stitches will be removed 5-7 days after surgery, and the swelling and petechiae around the eyes will gradually disappear after the stitches are removed. Most people can participate in general social activities (or go to work) 7-10 days after surgery. Depending on healing and medical advice, moderate makeup may also be applied to cover the bruise spots. Patients may experience photophobia, wind and other irritation for a few weeks. If these symptoms are present, sunglasses may be worn when going outside. Healing after surgery is a gradual process and the scar may be pale pink for 6 months after surgery, after which it may gradually lighten to a nearly invisible white line. The good results of blepharoplasty (a more refreshed, youthful appearance) can last for several years, and many people can keep it for a lifetime.