Is minimally invasive blepharoplasty permanent or not? This is the most common question I get from patients who come in for blepharoplasty in my clinic. The internet age has given us more ways to learn about the procedure, but also leaves us with no choice. Many patients, through online searches and inquiries, learn about the minimally invasive method of blepharoplasty, which is less invasive, faster to recover, natural, and permanent than the traditional full incision method previously used. After reading such an introduction, with so many advantages, I don’t think any patient would go for a full cut eyelid. So, what is the actual situation? This is a patient who recently came to me for a blepharoplasty. She had a minimally invasive blepharoplasty done 8 years ago in the plastic surgery department of a regular tertiary hospital in Beijing, and the surgeon’s title was associate chief physician. crease, now from the appearance, there are two main problems, one is the puffiness of the eyelids; secondly, there are multiple creases on the eyelids, the heavy lid line is not deep, the eyes look very uninspired and the eyelashes are completely suppressed, on the other hand, the inner canthus is not corrected. There are several reasons why these problems occur from a professional point of view: 1 the eyelid line is designed to be too wide; 2 the eyelid is not firmly adhered; 3 the surgeon is inexperienced, 8 years ago this surgical method was not yet popular and many doctors were good at doing the full cut or buried line method, but were not yet skilled in this method. Fortunately, because this method causes little damage to the eyelid and removes less tissue, the scar is inconspicuous and barely noticeable, and the repair is relatively difficult. The greatest difficulty of the surgery is how to eliminate the original heavy lid crease. Look at another case, a male patient who had a minimally invasive blepharoplasty in a beauty salon, and in less than six months the blepharoplasty has basically disappeared, with two-thirds of the blepharoplasty fold still visible on the right upper lid, and the left blepharoplasty has completely disappeared, leaving only the scar of the incision …….. Going back to the question we mentioned at the beginning, is the minimally invasive method of blepharoplasty permanent? It should be said that if you choose the right indications for the surgery, and here the indications mainly refer to the conditions of the patient’s eyelids: thin, not hypertrophic eyelids, normal upper eyelid muscle strength, no laxity of the upper eyelid skin, and then choose an experienced surgeon, then it is entirely possible to form permanent eyelids. If the eyelid condition is not suitable and this method has to be used, then the possibility of disappearing or becoming shallow is very high. Imagine such a good method, if it was applied to all patients, then there would be no need for a surgical method like the total cut method ……. In outpatient consultation, I often give patients an analogy of hanging a door curtain, the buried wire method is equivalent to using glue to stick the curtain on the door frame, gently lift the curtain will not fall, pulling or tugging hard will not work, if the curtain is very thick, then it is not sticky; minimally invasive method is equivalent to using three or four nails to nail the curtain on the door frame, of course, it is not able to withstand the hard tugging, too thick curtain three nails are also nailed; while the total cut is equivalent to using three or four nails to nail the curtain on the door frame, of course, it is also not able to withstand the hard tugging. The full cut is a row of nails punched in the curtain, so it is very firm, even if the curtain is torn off with force, the nails are still on the door frame.