All adults are eligible for cosmetic blepharoplasty, which is the most common cosmetic surgery performed in the East and is the most effective way to give a person’s appearance a fresh, new look. Blepharoplasty (commonly known as double eyelid surgery) can usually be performed after the age of 16. Also, blepharoplasty can be very effective for those who have excess upper eyelid skin that obscures the natural folds, sagging upper eyelid skin that sometimes obscures the visual field, and bloated upper eyelids (blister eyes) (blepharoplasty). There are various methods of blepharoplasty, such as compression stitching, buried stitching, three-dot microdissection, incision, etc. Most Asians with single eyelids have inner canthus, which can be corrected at the same time. Different surgical methods are used depending on the patient’s condition. The surgery is performed under local anesthesia or sedation and takes about 1 hour. In cases of sagging upper eyelid skin and bloated upper eyelids (blister eyes), some of the excess skin will need to be removed and the procedure may take longer than 1 hour. Post-operative conditions and precautions The recovery time required after surgery varies for each individual. Usually the swelling is most noticeable in the first two days after surgery and the stitches are removed about a week after surgery. The eyelids are still slightly swollen when the stitches are removed and a few people may have photophobia, tearfulness and dry eyes, which can be reduced with the use of eye drops. The eyelids are basically natural by one month after surgery, but it may take 3-6 months for them to become truly natural. The incision scar of the inner canthus takes about 3 months to fade. You should avoid rubbing your eyes after the buried liner method to avoid tearing the soft tissues and damaging the blepharoplasty line. Duration of surgical results The results of blepharoplasty are permanent, but laxity of the upper eyelid skin may still occur over time. Sometimes frontal skin laxity causes brow ptosis as if the ptosis is recurrent, at which point a forehead lift or upper blepharoplasty should be considered.