Eyelid surgery, also known as blepharoplasty, is a widely performed cosmetic surgery procedure. The eyelid surgery, also known as blepharoplasty, is a widely performed cosmetic surgery procedure with a variety of methods, but mainly divided into buried wire, incision, and Korean incision. Surgical Methods The buried wire method: This is suitable for people who are relatively young, whose eyelid skin is not particularly loose, whose upper lid subcutaneous tissue is thin, and whose fat is not prominent. The buried wire method buries the wire knot between the dermis and the lid plate for permanent retention and stronger adhesions, but the correct anatomical level must be mastered. Recovery is possible in about a week. The disadvantage is that the buried thread knot tends to slacken and the lid tends to disappear, but the thread can be buried again to form a strong adhesion. Incision: It involves cutting the upper lid skin open. This method is suitable for anyone and the heavy lid will not disappear. For people who are a little older, have loose skin, wrinkles or bulging eyelid fat a small amount of skin and part of the eyelid can also be removed to reduce the symptoms of loose, bloated upper lids. The disadvantage is that post-operative swelling is noticeable and recovery can be slow. It usually takes three or four weeks for the swelling to go down and return to natural, and more than three months for the open incision to completely disappear. A subtle incision scar is left behind in the early stages. Korean incision (perforation): Two small holes are made in the upper eyelid skin at the right place to remove the fat and excess skin, and the dermis is sutured to the lid in three points. The results are natural and beautiful, not only are the scars barely visible, but they are more natural and beautiful when the eyes are closed. It is especially suitable for young women who do not have lax eyelid skin. It is less invasive and more effective. Indications 1. If the skin of the upper eyelid is draped over the lid margin, covering not only the eyelashes but also part of the eye, resulting in a narrow eye fissure, the eye fissure cannot be fully opened to reveal the bright eye, giving the impression that the eyes are listless, sluggish and foolish, then blepharoplasty can be used to enlarge the eye fissure. 2. One eye has single eyelid and the other eye has double eyelid. 3. Asymmetrical eyelids on both eyes. 4. Those who have narrow eyelids and want to widen them. 5.The upper eyelid is sagging and drooping, becoming a triangle eye, octagonal eye, or inverted eyelashes 6.Those who are not satisfied with the blepharoplasty and can consider redoing the blepharoplasty. Case In addition to individual differences in how quickly blepharoplasty is recovered, the details of personal care are also crucial. After blepharoplasty, one is to pay attention to strengthening the eye muscles. The second is to prevent scar growth at the surgical site. Three to six months after surgery is the period of proliferation of surgical scars, and during this time, it is important not to use makeup and skin care products that contain heavy metals. Third, it is important to moisturize and soften the eyelid tissue. Eyelid surgery involves a variety of surgical methods, including the incision method, the buried liner method, the one-line continuous buried liner method, and the partial incision method. All of these methods are different from each other. The incision method is suitable for single eyelids with thick or fatty eyelids, single eyelids where the two eyes are not the same size or where the lids are droopy. It has the disadvantage of long surgery time and recovery period compared to the buried wire method, but you can usually recover in 5-7 days. The buried wire method is suitable for single eyelids with thin eyelid skin and thin orbicularis oculi, single eyelids without Mongolian wrinkles and without sagging eyelid skin. Experts remind you that people who are not suitable for such surgery figure it is convenient to do so soon after the surgery and there are many people who have to undergo secondary surgery due to sagging eyelids. The disadvantage of buried eyelid surgery is the short duration of maintenance. A continuous buried suture method is a surgical method that uses a suture buried in the muscle to make double eyelids in multiple consecutive burials. There is also the partial incision method, which is a medium-sized “partial incision method” that uses a partial incision to remove fat from the eyelid instead of cutting through the entire eyelid. The first thing you need to do is to take a look at the actual surgery. There is also a one-month ban on smoking and alcohol, do not eat spicy and irritating food as little as possible seafood, mutton, fish, etc., but also prohibit aspirin, warfarin, and blood circulation and other Chinese medicine. In any method, it is hoped that you will recover as soon as possible. For open blepharoplasty, swelling is noticeable within a week after treatment, gradually decreases in 2 to 3 weeks, and completely decreases in 1 to 3 months. Six months to a year after treatment, the scars fade completely, resulting in a good-looking double eyelid. If you have a buried blepharoplasty the recovery time is even shorter because there is no need to remove stitches and the swelling goes down in three days after surgery and you can wear makeup in a week at most. Pre-operative considerations First, blepharoplasty should be performed away from menstruation. Second, middle-aged and elderly patients should have their blood pressure measured and an electrocardiogram done if necessary. If there are mild abnormalities, medication should be administered before surgery. Third, if a candidate has conjunctivitis, blepharitis, or severe trachoma, he or she must be cured before surgery. Surgery is suspended for those with inflammation around the eyes. Antimicrobial eye drops should be given twice a day before surgery. Fourth, candidates should stop taking steroid hormones and anticoagulant drugs such as aspirin 10 days before surgery. Fifth, surgery should be postponed in the first or second trimester of pregnancy. Sixth, candidates with a history of bleeding tendency should check platelets and bleeding and clotting time. After surgery, it is important to keep the wound clean to prevent infection. If there is blood scab or secretions on the wound, use sterile saline or medical alcohol to wipe it. 2. Do not take painkillers in a hurry when the wound is painful There will be some pain in the wound on the day of blepharoplasty surgery, but it will gradually decrease over time. Patients should not rush to take painkillers, as aspirin-based medications can aggravate wound bleeding. 3. Treatment of stitches after blepharoplasty Patients who have had blepharoplasty will have their stitches removed 5-7 days after surgery. Sometimes very small threads remain in the wound after the stitches are removed, which will slowly top out or absorb on their own over time, so this is a special tip for post-op blepharoplasty care. 4. Prevention of bleeding, bruising or hematoma in the wound after blepharoplasty Aftercare should prevent bleeding, bruising or hematoma in the wound. Bleeding, bruising, or hematoma can occur if small blood vessels are damaged during blepharoplasty or if bleeding is not completely stopped during surgery, if there is an external impact on the eye after surgery, or if there is intense movement or unpredictable emotions. To prevent these complications, local wounds can be dressed with pressure or cold compresses with ice packs, but the pressure should not be high to avoid damaging the eye. It is important to follow up with a hospital in the event of excessive bleeding and severe hematoma after blepharoplasty.