Eye repair is mainly for failed blepharoplasty, undesirable heavy eyelids 1. inconspicuous post-operative heavy eyelids with internal or hidden double; 2. raised subcutaneous suture nodules that do not disappear for more than six months; 3. unnatural and non-fluent lower margin line of the heavy eyelid crease for six months after surgery; 4. bilateral inconsistency and asymmetry in the shape of the heavy eyelid crease for six months after surgery; 5. obvious scar at the heavy eyelid crease furrow for six months after surgery, exceeding 2mm in width; 6. 6. Subcutaneous tissue hyperplasia forming nodules at the eyelid crease groove six months after surgery, which does not disappear after treatment; 7. Hypertrophy of the upper eyelid, deep concavity of the eyelid crease after surgery, excessive skin tension, resulting in long-term edema of the upper eyelid for more than six months; 8. Long-term exposure of the thread at the lid conjunctiva, with obvious symptoms of corneal irritation, affecting upper eyelid activity and vision; 9. Shallowing of the eyelid crease within one year or complete disappearance of the eyelid crease within three years. The reasons for blepharoplasty failure: 1. Improper selection of indications: Different blepharoplasties have different indications, and both the doctor and the candidate should be clear that not all single-lidded people need blepharoplasty, and not all single-lidded people have blepharoplasty to add beauty. People’s beauty is related to their face shape, facial features, personality, temperament, and expression characteristics. Improper selection of indications can lead to surgical failure or poor cosmetic results. 2. Poor or incorrect design of the preoperative blepharoplasty line and shape: The correct design of the blepharoplasty line and its shape is a prerequisite for successful blepharoplasty. Failure to design carefully or use the correct design method will inevitably lead to problems such as too high or too low eyelid line, bilateral asymmetry, and poor eyelid line shape. 3. Improper choice of surgery: The choice of surgery should be based on the shape of the candidate’s face, the range of applications of the various surgical procedures, and the doctor’s habits and experience, and not just one procedure to solve all problems. 4. The doctor lacks sufficient knowledge of eyelid diseases: The doctor performing blepharoplasty must have sufficient knowledge of eyelid diseases, especially those related to blepharoplasty, otherwise it is easy to cause mistakes or failures. If there is mild ptosis in one eyelid and blepharoplasty in the other, and the two eyelids have different fissures, it is important to shorten the levator muscle to create a blepharoplasty at the same time. If the ptosis is missed and only a simple blepharoplasty is performed, the procedure will of course fail. For single-lid candidates with canthus, small lid fissures, low nasal bridge, and widened inner canthus, prior or simultaneous correction is necessary to ensure the success of blepharoplasty. 5. Sloppy operation or lack of scientific attitude: blepharoplasty is a delicate and skillful surgery, and the doctor must have a serious, meticulous medical style and scientific attitude. In addition to the necessary preparations before surgery, the operation must be strictly aseptic, and the movements must be light and precise to avoid being rude and sloppy in order to ensure successful surgery and satisfactory post-operative results. 6. Lack of aesthetic awareness: If the doctor lacks aesthetic knowledge or is not formally trained, he or she will not be able to apply aesthetic principles and knowledge reasonably or correctly during preoperative design and surgery, which will affect the effect of blepharoplasty. The procedure should be done only after the inflammation around the eyes has been cured, and the antimicrobial eye drops should be administered twice a day the day before the blepharoplasty repair surgery. 4. Avoid menstrual periods for surgery. The procedure can be done in a way that is not consistent with the original design and the suture position is too low. To repair this, the skin below the eyelid line can be peeled off, the orbicularis oculi and prelid tissue in front of the lid plate can be removed, and the upper lid skin can be stretched and the incision lifted and sutured to increase the width of the eyelid (by 1 to 3 mm), and the eyelashes can be upturned to increase aesthetics. In addition, because the skin under the eyelid line is thinned, the eyelids will be more realistic and natural after surgery. Failure 2: The eyelid line is inconspicuous or completely disappears Repair: Buried, incisional or suture pressure pad method The partial or complete disappearance of the eyelid line is usually seen after the buried, incisional and suture methods. The reason for this is the incorrect choice of surgical method and the failure to permanently attach the lid and skin to the eyelid with the buried liner method in cases of thick, bloated eyelids. The skin may not adhere to the lid plate because of incomplete removal of the orbital fat and orbicularis muscle in front of the lid plate during the incision method. For repair, the original buried wire method can be replaced with an incisional blepharoplasty; for the original incisional method, the original incision can be made to remove enough subcutaneous tissue and orbicularis muscle, and the skin can be sutured close to the lid plate or lid muscle tissue, allowing the patient to open their eyes during surgery to observe and achieve a satisfactory blepharoplasty. For those with thin eyelids, no redundant skin in the inner corner or light redundant skin, the buried line method can be chosen; for those with thick eyelids (flesh puff eyes) and redundant skin in the inner corner, the incision method should be used instead; for those whose eyelid line has partially disappeared, the surgery can be performed again locally, and the newly formed eyelid should be consistent and natural with the remaining eyelid line. Failure 3: Wide eyelids Repair method: Excision or filling The width of the eyelid is greater than 8mm, or too wide for the shape of the face (small and round), commonly seen in European eye seekers. In addition to the wide width of the eyelid, the subcutaneous tissue and orbital fat on the upper eyelid line and under the orbital bone are too much removed and depressed, resulting in a poor appearance after eyelid surgery. In the case of non-European eyes, it is relatively easy to fix the problem by redesigning the incision within the 6-8 mm range and removing the original incision, which gives good results. The surgery can be performed in one or two stages depending on the situation. Failure 4: Triple eyelid formation Fix: Excision After the swelling subsides, the excess skin is removed through the original incision and the crease above disappears. Failure 5: Ptosis Fix: Suture Re-operate and suture the severed levator aponeurosis to the lid plate. In mild cases, local massage or local glucocorticoid injections can be used to encourage the lower lid skin to relax, which usually recovers or improves in a few months; in severe cases, the lateral V-shaped skin can be excised and sutured, the orbicularis muscle can be lifted and fixed toward the outer orbital rim, or the upper lid rotation flap, nasal flap, or temporal flap can be used to correct the ectropion; in severe cases, a free skin graft correction is required. The best time to consider corrective surgery is 6 to 12 months after surgery, except in cases of severe eyelid malocclusion. If surgery is performed before the scar softens, the tissue is more fragile and tears easily, resulting in scar formation and not only unsuccessful repair, but more serious failure. If the eye surgery fails to repair, the performance of eye opening failure: 1, after the surgery, the desired effect is not achieved, specifically the curvature and width of the inner 1/3 of the inner canthus of the double eyelid does not reach the desired effect, or the inner canthus exceeds the length of the vertical line of the two eyebrow peaks; 2, after the surgery due to contracture of certain tissues of the eye, resulting in an obvious scar at the opening, and slow elimination; 3, the upper and lower eyelids are too thick tissue in the surgical process The skin of the upper and lower eyelids is not thinned, making the eyes swollen and uninspiring; 4. The skin of the operated area becomes loose after surgery, resulting in sagging of the upper eyelid and lid ectropion. Repair principles: 1. In the design of the failed eye opening repair, the direction of tension must be considered and the surgical style chosen according to the direction; 2. The innermost corner of the inner canthus must not exceed the vertical line of the eyebrow, otherwise it will appear that the distance between the two eyes is too close; 3. The design of the failed eye opening repair should be slightly lower than the horizontal line of the length of the two eye axes, which will appear more natural.