Blepharoplasty is the most common cosmetic surgery today and can be performed on people with single eyelids or those with excessively loose and droopy eyelids or inverted eyelashes. However, the procedure must be individualized and cannot be forced to be consistent. It should be determined by the individual’s face and eye shape (length and size of the eye socket, relative position of the eye socket to the eye, width of the upper eyelid, height of the eyebrow, direction of the eyelashes, whether the inner canthus is redundant, thickness and texture of the skin, amount of muscle and fat), as well as the individual’s temperament, aesthetic situation, and length of recovery time. Although blepharoplasty adds a lot of charm, some people with a saddle nose (low nose) and canthus should have a comprehensive correction to achieve the desired effect. Some people, such as those with very narrow eye fissures, excessively protruding eyeballs, and a narrow distance between the upper edge of the eyelid and the eyebrow, should not undergo this surgery. In addition, congenital amblyopia, acute and chronic eye inflammation are contraindicated, and surgery is strictly forbidden for people with blood clotting disorders and scarring. I. Incisional blepharoplasty It involves cutting the upper eyelid skin to create anatomically similar fiber adhesions to the natural eyelid. This method is suitable for any type of single eyelid, especially for older patients with lax and hypertrophic upper eyelids, and for those with high aesthetic requirements who require a longer postoperative eyelid retention. This method is clearly exposed, easy to operate, facilitates tissue removal and hemostasis, and creates a very stable double eyelid crease and allows the eyelashes to be upturned; a small amount of skin, muscle and some orbital fat can also be removed for patients with lax skin, orbicularis oculi hypertrophy or orbital fat bulge (swollen eyes) to reduce the symptoms of laxity and bloating of the upper eyelid. The disadvantages are that the stitches need to be removed after surgery, the swelling is long in some patients, the lid is unnatural in the near future, and the scar of the incision line can be seen and takes 3-6 weeks to fade. This method involves fixing the dermis to the lid plate with a thread so that the eyelid appears when the eyes are open. It is divided into intermittent and continuous laparoscopy. It is suitable for young people with a large eyelid, thin eyelids, no muscle or fat hypertrophy, and normal eyelid skin tension without laxity. The procedure is simple, easy to master, and minimally invasive. The ligatures are continuous in the upper eyelid, so the wall of the eyelid is solid; the swelling is light, there is no obvious incision scar, and the appearance is natural; if the surgery is not good, the incision can be used again to correct it; for those who are not satisfied with the shape of the eyelid, the ligatures can be cut and returned to the original single-lid face within a few days after surgery. Commonly used adjunctive surgery for blepharoplasty: Because each person is different, sometimes one or more of the following surgeries may be required for comprehensive correction during or after blepharoplasty to achieve better results. 1. Adjustment of the upper lid skin, orbicularis muscle and orbital fat: In order to make the blepharoplasty more natural and beautiful, the right amount of skin, muscle or fat needs to be removed during blepharoplasty for those with loose upper lid skin, orbicularis muscle hypertrophy and orbital fat hypertrophy or sagging. 2. Inner and/or outer canthoplasty: Inner canthoplasty not only lengthens the eyes but also improves the shape of the eyelid; if the eyes are too short, the outer canthus can be opened to increase the length of the eyes. 3.Brow cut or temporal lift: For those with sagging eyebrows and/or crow’s feet, a brow cut or temporal lift can be performed to lift the eyebrows and eliminate crow’s feet. 4. Tear gland repositioning: In a very small number of patients, the upper lid bloating is due to the prolapse of the tear gland, which can be improved by repositioning the tear gland during blepharoplasty. 5. Shortening of the levator muscle: In patients with mild ptosis, the levator muscle can be shortened at the same time as blepharoplasty to correct the ptosis. Some patients with blepharoplasty look natural very quickly, while others take a long time to be accepted. This is because in addition to the patient’s own condition, the details of post-operative care are also critical to a patient’s recovery. Each patient should follow the Post-Operative Precautions to achieve the best results and add to your beauty.