Depression of the orbital region of the upper eyelid is a difficult complication after double eyelid surgery, which often leads to adhesion between the orbital septum and the skin of the upper eyelid due to excessive fat removal of the orbital septum, excessive orbicularis oculi muscle removal and excessive surgical trauma. Some people blindly pursue the so-called "European eye". In the book, too much fat is removed from the orbital septum of the upper eyelid, which leads to depression of the upper orbital region, difficulty in opening eyes, dull eyes, and sometimes intractable triple eyelid deformity that is difficult to correct. In this case, it usually takes 6~ 12 months after operation to soften the scar. First, the adhesion should be fully released, and then the orbicularis oculi muscle in the orbit should be moved down to fill it, or the fat in the lower eyelid bag should be used to fill it, or the body fat should be sucked for fat injection filling, or even the body fascia tissue can be taken to fill the upper eyelid orbit.
In principle, the diagnosis and cause of secondary orbital contents depression caused by some diseases should be made clear first, and then the primary disease should be treated. For example, any passage from the sympathetic nerve center to the eye is compressed or destroyed by pathological changes, which can cause pupil contraction, enophthalmos of the affected side, ptosis of the affected side and hypohidrosis or anhidrosis, which is called Horner syndrome. In this case, the primary lesion should be located and characterized first, and then treated according to the cause. For example, those with inflammation are given anti-infection treatment, and those with tumors are feasible for chemotherapy, radiotherapy and surgery. For another example, patients with head and face trauma, if they have enophthalmos, diplopia and other manifestations, usually caused by orbital fractures, usually need surgery to restore fractures, relieve symptoms, reduce functional damage, and later cosmetic surgery can be performed to improve their appearance.