Eyes as the first of the five senses, is the center of appearance, eye cosmetic surgery is important to improve the overall appearance. The mainstream aesthetic system that single eyelids monotonous, lack of dynamic and three-dimensional sense, and double eyelids can make people’s eyes more bright, clear. However, the rate of double eyelids (blepharoplasty) in Asians is only 50%. Therefore, double eyelid surgery (blepharoplasty) has become the most common surgery in Asian oculoplastic surgery. The buried eyelid has become the choice of many people due to its minimal trauma, quick recovery, light swelling and inconspicuous postoperative scarring. However, out of the fear of having surgery on the eyes, so many people have questions about its safety, so how safe and effective is the buried eyelid? First of all, safety, buried line because it does not involve the inside of the eye, only in the eyelid surgery, so the risk of surgery is low, at least compared with the incision of double eyelid plastic surgery, the safety is a little higher. Secondly, because there is no incision during the operation and no need to remove the stitches after the operation, there is no need for a second operation, and the safety is also relatively higher. Moreover, double eyelid surgery is not only easy to operate, but also has the advantages of short time (usually around 20~30 minutes), small trauma, small postoperative swelling, no bruising, fast recovery (not affecting normal life and work), no scar, etc. One week of the basic swelling, and there is no skin loosening. In conclusion, double eyelid surgery is a good method of oculoplastic surgery, but for the sake of safety and final results, in the actual application of the patient’s eye conditions need to be considered according to the comprehensive consideration of whether it is suitable for the operation. It is important to note that there are risks associated with any surgery, and the same is true for double eyelid surgery, as there is the possibility of hematoma and infection. Moreover, if the plastic surgery organization is not formal and the operator is inexperienced, then the risk of the surgery will be higher than when it is done in a formal plastic surgery organization. So in order to avoid the risk of surgery, candidates should choose formal medical institutions, operated by professional doctors, but also timely and effective to do the corresponding care work, in order to ensure the best results after surgery. The surgery is done and the result is good, but can this effect be maintained permanently? Unfortunately, no! Because the buried thread method is to use the ligature line on the upper eyelid dermis, the upper edge of the lid levator muscle tendon membrane for fixation, in order to form a crease, to achieve the purpose of double eyelid (blepharoplasty). However, the upper eyelid crease tends to become narrower after surgery, and the threads tend to fall off, so the possibility of the eyelid disappearing after the surgery is high, which makes it difficult to make the effect of the double eyelid (blepharoplasty) satisfactory, and there are certain limitations in the application of the effect. In most cases, it can only be maintained for about three years, but if you do a good job of postoperative maintenance, it can be maintained for up to 10 years, but it is not impossible to rule out that some candidates, within a few months after the double eyelid surgery, their double eyelids will disappear completely. Therefore, the duration of the postoperative double eyelid effect varies from person to person, depending on the conditions around the eyes and the skill level of the surgeon. If you want to achieve a more lasting double eyelid effect, it is generally recommended to do a full incision double eyelid, which has a wider range of applicability and is suitable for those who undergo double eyelid surgery with buried wires. However, it is important to remind the general public that there is nothing wrong with the pursuit of beauty, but it is important to be cautious and not to lose a lot of money for small reasons! References [1] Song Yang. Comparison of the application effect of incision method and buried wire method in blepharoplasty[J]. China Modern Drug Application,2021,15(6):104-106.