The operator must have a clear understanding of the skin physiology and anatomical characteristics of the elderly. Skin aging is a long process, which is different from young skin. Normal moisture decreases, and the activity of elastic fibers decreases, which shows that the skin is slack, wrinkles increase and become permanent. The original double eyelids (double eyelids) gradually narrowed and disappeared in the eye, especially in the outer corner of the eye, and even "triangular eyes" or "three (more) layers of eyelids" appeared. Its appearance involves eye anatomy. Orbital septum is a layer of connective tissue that separates eyelid from orbit. There are two groups and three groups of cellulite under the orbital diaphragm of the upper eyelid and the lower eyelid respectively. With the increase of age, due to the relaxation of this connective tissue diaphragm, the orbital diaphragm is pushed forward by fat. With the hernia of fat, the skin of the upper eyelid droops and swells into "puffy eyes", while in the lower eyelid, bloated bags under the eyes accumulate. Increase skin tension and lose elasticity. Loose skin makes the lower eyelid arc, the eyelid margin pushes inward, and trichiasis also occurs. Young people can also have bags under the eyes or "puffy eyes", but most of them are caused by family inheritance.

After understanding the physiological and anatomical characteristics of the eye tissues of the elderly, we should especially follow the appropriate design (naturally) during the operation. Incision method should be chosen before operation (because other methods can't remove excess fat and sagging skin, which makes it lose elasticity). The amount of skin tissue removed is directly related to the surgical effect, which makes patients satisfied with the surgical results and has no surgical complications. This is a test of the operator's experience, which runs through every link from preoperative conversation to postoperative follow-up The severity of aging sag is not proportional to the removal amount. The more skin tissue removed, the better. After trauma, aging tissues recover very slowly, especially in the eyes. Because the amount of skin removed is relatively large, although the skin of the upper eyelid is the thinnest in the whole body, the farther it is from the eyelid margin, the thicker it is. Although the fat of hernia has been removed after returning to nature, it is difficult to completely correct "bleb eyes" like young people. It is difficult to repair the bags under the eyes. Due to the weakness of orbicularis oculi in the elderly, the skin is slack, and the lower eyelid has turned outwards under the action of gravity, but the eyelid margin is hidden inward under the arc-shaped pouch. Usually, inexperienced operators will regret after happily "cleaning" the "excessive" fat, orbicularis oculi muscle and skin, leading to the irretrievable ectropion of the lower eyelid. In addition, the "radial crow's feet" of the outer corner of the eye can never pass the above two operations (. The patient is not clear about this, which is also the cause of postoperative disputes.

Through the above suggestions to surgeons, patients may also understand many reasons for dissatisfaction after operation, and sum up some points for the reference of elderly friends who want beauty treatment:

1, plastic surgery is no joke, especially for the elderly, eye plastic surgery is more difficult, and half a step is disfigurement. At present, there are many "beauty salons" in society. I hope that the majority of beauty lovers will be responsible for themselves, go to regular big hospitals for surgery and find experienced professional doctors.

2. Know yourself objectively, aging is an irresistible natural law, and correctly understand the explanations, suggestions and postoperative effects of doctors before operation. Understand all kinds of possible problems, truly trust, understand and communicate between doctors and patients before operation, and fully understand the physiological and anatomical characteristics of elderly patients during operation. Only in this way can satisfactory results be achieved after the operation.