Eyelid surgery (that is, eyelid plastic surgery) refers to the removal of fat from the upper and lower eyelids through surgery, while removing excess skin and muscle. Eyelid plastic surgery can correct drooping upper eyelid and bloated lower eyelid pouch, because drooping upper eyelid and bloated lower eyelid pouch will make you look older, more tired and even affect your vision. But eyelid plastic surgery can not remove crow's feet or other wrinkles, can not eliminate dark circles, can not lift drooping eyebrows. Upper eyelid plastic surgery can turn your upper eyelid into a double eyelid. Eyelid plastic surgery can be performed alone or simultaneously with other facial plastic surgery (such as face rhytidectomy or forehead rhytidectomy). If you are considering eyelid plastic surgery, here is a basic introduction, such as the timing of the operation, how the operation is carried out and the expected effect of the operation. But it can't answer all the questions, because there are many factors that affect the effect of eyelid plastic surgery, including the factors of patients and doctors. If you don't understand the problem, you can consult an experienced plastic surgeon in detail. 1. Those people are most suitable for eyelid plastic surgery. Eyelid plastic surgery can improve your appearance and enhance your self-confidence, but it may not reach the ideal state you require, nor may it impress others. Therefore, before deciding on the operation, you should carefully consider your expectations and further discuss with your doctor. The most suitable people for eyelid plastic surgery are men and women who are healthy, mentally stable and have realistic expectations. Most of them should be over 35. But if you have familial ptosis and pouch, you can also do it early. Among China people, for some young people with congenital single eyelid, if they want to achieve the goal of turning into double eyelids through eyelid plastic surgery, they can also achieve their expected goals through this method. Some health problems will increase the risk of eyelid plastic surgery, such as hyperthyroidism, dry eye, hypertension or other circulatory diseases, cardiovascular diseases and diabetes. Patients with retinal detachment or glaucoma should also be careful and ask an ophthalmologist for further examination before operation. Second, all operations have risks and some uncertainties. If eyelid surgery is performed by a professional plastic surgeon, the complications are rare and usually minor. Nevertheless, the possibility of complications still exists, such as infection, anesthesia reaction, etc., so you must follow the doctor's advice before and after the operation to minimize the risk. Some minor postoperative complications include blurred vision, ghost, temporary eyelid swelling in the corner of the eye; Slight asymmetry and postoperative scar. Small white spots may appear after stitches are removed, and doctors can easily remove them with fine needles. After the operation, some people may have incomplete eyelid closure during sleep, and very few people can persist for life. Another rare complication is eversion, in which the lower eyelid is pulled down and everted. If this happens, a second operation is needed. Third, it is very important to plan your own surgery for the first time. The doctor needs to know all your health conditions and check your eyesight. Be sure to tell the doctor if you have any allergies, whether you usually wear glasses, and your eyesight. The doctor will discuss your surgical goals and expectations with you in detail. Whether the upper and lower eyelids need surgery or just one of them; Whether to remove adipose tissue and skin at the same time; Whether other operations are needed, etc. The doctor will explain the specific operation method, anesthesia method, whether the operation is carried out in outpatient department or hospital, and the related risks and expenses. If you have any questions, you must ask the doctor, especially the expectation and worry about the effect of the operation. Fourth, preoperative preparation The doctor will tell you how to make preoperative preparation, including your diet, certain drugs, smoking and washing your face. Listening carefully to the doctor's instructions will make your eyelid plastic surgery go smoothly. Two days after the operation 1-2, you should try to arrange another person to take you home or accompany you in the hospital. V. Selection of anesthesia methods Eyelid plastic surgery can usually be performed under local anesthesia. You will stay awake during the operation, but there is no pain in the operation area. (But there may be some pulling feeling or occasional discomfort). Some doctors are willing to use general anesthesia to make you fall asleep during the whole operation. Sixth, the surgical method According to the size of the surgical scope, eyelid plastic surgery usually takes 1-3 hours. If both upper and lower eyelids are operated, the doctor may do the upper eyelid first, and then the lower eyelid. The classic surgical procedure is that the doctor makes an incision along the natural fold line of the eyelid, with the upper eyelid at the fold and the lower eyelid below the eyelashes, and the incision can extend to crow's feet. After incision, separate the skin from subcutaneous fat and muscle, cut off excess fat tissue, trim sagging skin and muscle, and sew the incision with thin thread. If there is only too much subcutaneous fat in the lower eyelid and no peeling is needed, then blepharoplasty with inner eyelid incision is feasible. The incision is on the inner side of the lower eyelid, and no scar can be seen after operation. This kind of operation is usually suitable for young people with thick skin and good elasticity. Seven, postoperative care, doctors can use vaseline gauze and gauze to cover the wound. After the anesthesia subsides, you will feel tight eyelids and pain, which can be controlled by painkillers. If the pain is serious, you should see a doctor at once. The doctor will tell you to look up for a few days or apply cold compress to reduce swelling and congestion. The degree of congestion varies from person to person, and it is the heaviest in the first week after operation and lasts for 2-4 weeks. The doctor will also teach you how to clean your eyes. In the first few weeks, there may be symptoms such as tears, photophobia and temporary vision loss (such as blurred vision and diplopia). The doctor will closely follow up 1-2 weeks after operation, and the stitches will be removed 5-7 days after operation. After stitches are removed, the swelling and ecchymosis around the eyes can gradually disappear, which will make you look better and feel better. Eight, you can watch TV for 2-3 days after returning to normal, but you can't wear contact lenses for 2 weeks. Even so, you will feel uncomfortable for a while. Most people can participate in general social activities (or go to work) within 7- 10 days after operation. According to the healing situation and doctor's advice, you can also make up moderately to cover up the ecchymosis. After a few weeks, there may be irritating symptoms such as photophobia and wind. Wear sunglasses when going out. The doctor will tell you to minimize activities within 3-5 days. Avoid excessive activities within 3 weeks, especially bending over, lifting objects, strenuous exercise and other activities that raise blood pressure, and also avoid drinking alcohol. The healing of the new you is a gradual process. Half a year after operation, the scar can be pale pink, and finally it can gradually become shallow and become an almost invisible white line. On the other hand, eyelid plastic surgery works well (it looks more energetic and younger).