1. Those whose families are strongly opposed to the idea. 2. Those who are mentally unstable or have psychological disorders, who lack recognition of their own condition, and who are obsessed with pursuing an unrealistic eyelid shape; those with severe scarring, or those with abnormal coagulation mechanisms should explain this to their doctor in advance. 3. Women who are on vacation, pregnant or during menstruation, due to medication and coagulation disorders, so as not to affect the fetus or surgical bleeding. 4, congenital amblyopia, inner or outer eye, acute or chronic periocular infections that have not been controlled and self-healed; those who are clearly allergic to local anesthetics or anti-anesthetics in previous surgeries should inform the surgeon. 5.People with ptosis. 6.Patients with bleeding disorders and hypertension, as well as active and progressive diseases of the heart, lungs, liver, kidneys and other vital organs, uncontrolled diabetes and infectious diseases. 7. Patients with various causes of ophthalmoplegia, hyperconcave or receding eyelids; those who know that surgery will not achieve the desired results should be treated with caution. 8.Patients with facial palsy with incomplete lid closure; those with infectious diseases inside or outside the eye should be cured before surgery. 9. Those who have some kind of infection, mental illness or mental incompetence or psychological instability.