The medical history was inquired in detail. Only steroid hormones, vasodilators and anticoagulants were used before operation 1 week. Check the skin of lower eyelid, the relaxation degree of orbicularis oculi muscle and the position of fat protrusion.

The advantages of this method are: no separation of orbicularis oculi muscle, less tissue damage and less bleeding; There is no incision in the skin, so there is no scar, and there are no sequelae such as ectropion, separation of eyelid ball, tears overflow and incomplete closure of eyelid fissure. The incision of lower eyelid conjunctiva is small, and it is simple to remove stitches without suture or continuous suture under conjunctiva. The disadvantage of this method is that the skin and orbicularis oculi muscle cannot be shaped at the same time.

Conjunctival approach blepharoplasty: used for the first blepharoplasty for young people without lower eyelid skin and muscle relaxation.

Postoperative complications and management: subcutaneous ecchymosis and lower eyelid edema caused by surgical trauma generally subside in 3-5 days after operation, and ecchymosis can subside 1 week. Apply the eye ointment to the eyes and apply pressure to wrap it for 24 hours. The dressing change and cold compress are required on the day after operation, and the stitches are removed three days after operation.

The most common complication is that the intraorbital fat is taken out too much, or even part of the retrobulbar fat is removed, and the lower orbital margin area turns into concave deformity due to the original bloated deformity.

The most serious complications are due to rough operation and incomplete hemostasis, especially when cutting the fat ball in the area, a longitudinal blood vessel often detours through the fat ball and should be ligated if necessary. Otherwise, there is bleeding in the orbital septum, and the blood will form a hematoma after entering the ball, which will compress the optic nerve and lead to blindness. Better ask Shanghai Time Hospital.