Eyes are the windows to the soul, and many people hope to make a gorgeous turn through surgery to make themselves more beautiful. But the reality is cruel, how many people’s beauty dream breaks, becoming beautiful turns into disfigurement, hope turns into disappointment. So I hope that you will communicate your expectations to your surgeon before surgery to avoid unnecessary trouble later on. Poor heavy eyelid shape resulting from blepharoplasty often requires another surgery to correct it. Depending on the clinical manifestations of the post-blepharoplasty deformity the appropriate repair method needs to be adopted. Problems can be treated early for post-buried blepharoplasty, while post-incisional blepharoplasty problems can be corrected after the scar-growth period, which usually takes 6-9 months. (1) If the eyelid line becomes shallow due to the buried suture method, the buried suture method can still be chosen for those with thin eyelid skin and no significant laxity. The original buried sutures are first removed and then re-buried. In cases of upper eyelid bloating, this should be changed to the incision method. (2) In cases where the eyelid line is not long enough, resulting in a half-truncated eyelid line, it can be re-buried at the site of disappearance, either by the single-point method or by the continuous method. (3) If the lid line becomes shallow as a result of the incision method, the incision method should be performed again to remove the appropriate amount of tissue in front of the lid and re-suture the skin at the incision site. (2) Narrow eyelids are those in which the eyelid line is not exposed or is too narrow when the eyes are open, resulting in a “hidden double”. (2) For a narrow eyelid line due to excessive skin laxity, either by the buried or incisional method, a second incision should be performed to remove the lax skin and recreate the eyelid. (3) It can also be combined with a brow lift to correct the upper lid skin laxity. The eyelid line position is significantly higher than the corresponding natural eyelid line position when the eyes are open, giving the impression of a dull, false eyelid. (2) The situation is more complicated for overly wide eyelids caused by the incision method. If the blepharoplasty incision is not in a high position and the blepharoplasty line is wide due to tight skin, surgery can only be suspended. If the original blepharoplasty incision is too high, but the skin below the incision is loose, blepharoplasty can be performed. The upper lid is not a single fold, but rather multiple folds that are superimposed when the eyes are open. Treatment: In this case, it is not easy to correct, but it is possible to reset the orbital fat by herniating it out of the orbital septum and placing it in the upper fold. If no suitable septal fat is available, free fat grafts are required. (1) For unsatisfactory eyelid curvature due to the buried suture method, the original sutures can be removed and the sutures re-buried. (2) For unsatisfactory heavy eyelid curvature due to the incision method, a new incision is required and the impact of the original incision location and the amount of upper eyelid tissue remnants on the surgical result is assessed. (1) For asymmetrical eyelids caused by the buried suture method, the original sutures can be removed and the sutures can be re-buried. (2) For asymmetrical eyelids caused by the incision method, the incision method should be performed again. (1) Re-operation is not recommended for upper lid scarring due to the patient’s own physical condition. (2) If the scar is obvious due to surgical technique, infection, etc., a partial excision of the scar can be performed if there is a loose amount of skin. The upper eyelid ptosis manifests as a lack of strength of the levator muscle after blepharoplasty and cannot reach its normal position when the eyes are open, Treatment: Because the sutures are placed too high during the buried suture method, they are sutured to the levator muscle tendon membrane or levator muscle, forming a pseudo upper eyelid ptosis, which can be relieved by simply removing the original sutures. The sutures can be repositioned in the right place to form the eyelid. Ptosis due to tissue adhesions, damage to the levator muscle or levator aponeurosis requires an incision to expose the levator muscle. The tendon membrane is folded or the levator muscle is moved forward to correct the problem.