(1) Anesthesia for blepharoplasty: 2% procaine or lidocaine is usually used for local injection. The needle can be injected along the incision line between the muscle and the tarsal plate, or the rhombus or triangle injection method can be used for anesthesia. (2) Surgical methods of blepharoplasty 1. Ligation method Indications: Ligation method is suitable for single eyelid recipients who are younger and have no loose upper eyelid skin and no excess fat. Surgical method: 1. Routine facial disinfection and draping. 2. Local infiltration anesthesia. 3. First determine the positions of six points a, b, c, d, e, and f on the predetermined line of the double eyelids. Use a needle with thread to insert the needle from the curvature of the conjunctival surface, and then add gauze to the skin between the two points. Or silicone tube pad ligation; use the same method to complete the post-operative treatment of the other two suture pad ligations: the sutures are removed 7 to 10 days after the operation, and the double eyelid line returns to the shape of the naturally grown double eyelids in about 20 days. 2. Thread embedding method Indications: Suitable for young people with thin upper eyelid skin and less subcutaneous fat. Surgical method: 1. Routine facial disinfection and draping. 2. Local infiltration anesthesia. 3. Make three short and shallow skin incisions on the scheduled double eyelid line. The upper eyelid is turned over, and a needle and thread are inserted through the conjunctival membrane, through the tarsal plate, and out through the skin incision. The other end of the thread is also inserted through the conjunctival membrane, passes through the tarsal plate, and exits through the skin incision. Ligate both ends of the suture in the skin incision, and then repeat the above suturing and ligation operations at the two skin incisions; Postoperative treatment: Double eyelids can be maintained for 2 to 3 years or longer, and apply some ointment on the sutures. , no dressing required. 3. Incision method Indications: The incision method is suitable for young and older patients with single eyelid surgery who have loose upper eyelid skin and excessive fat. In addition, the incision method can also be used for single-eyelid surgery patients who have higher requirements for aesthetic results and long-term maintenance of double eyelids. Surgical method: 1. Routine facial disinfection. 2. Local infiltration anesthesia. 3. Make a skin incision near the upper eyelid margin, and cut off a little of the tissue and orbicularis oculi muscle fibers under the skin incision. The incision is retracted and the orbital septum is incised; the naturally herniated intraorbital fat is removed to expose the aponeurosis of the levator palpebrae superioris muscle; the dermis at the lower edge and the levator aponeurosis are sutured and fixed at the middle, inner and outer places; finally, the skin is The incision is sutured intermittently. 4. After the surgery on both sides is completed, cover the sutured incision with a 1cm wide Vaseline gauze strip on each side. Then add a thin layer of dry gauze strips 1.5cm wide. Finally, use a long strip of tape to secure the gauze on the two upper eyelid surfaces. Postoperative treatment and attention: Treatment: Remove all dressings on the upper eyelid 3 days after surgery, and remove all sutures from the upper eyelid incision 5 days after surgery. Note: 1. After reconstructive plastic surgery, do not use bandages to wrap the patient's eyes and head together, otherwise the patient will suffer severe eye pain. If you only treat eye pain with painkillers without removing the bandage, more serious consequences will occur. 2. The recipient is prohibited from eating pungent, spicy, irritating and other foods, smoking and alcohol, and vitamin E, aspirin and other drugs are prohibited for two weeks after surgery. 3. Cold compress can be used within 72 hours after surgery, which is helpful to stop bleeding and reduce swelling. 4. Apply antibiotics for 3 to 7 days to prevent infection. The indoor temperature should not be too high within 3 days after surgery. 5. Change the dressing regularly on the first day after surgery, and keep the wound clean and dry before removing sutures. 6. Follow the doctor's instructions and follow up for follow-up consultations on time. If there are other circumstances, you should contact the doctor in time and do not handle it without authorization.