Objective To analyze the effect of local ffap treatment on incision healing and eyelid function recovery in patients with periorbital cosmetic plastic surgery. Methods A total of 70 patients who underwent periorbital cosmetic plastic surgery in Beijing Zhongguancun Hospital from February 2023 to March 2025 were selected, and they were divided into the control group and the observation group by the random number table method, with 35 patients in each group. The control group received traditional ffap transplantation, and the observation group received local ffap treatment. The incision healing, eyelid function recovery, complication rate and satisfaction were compared between the two groups. Results The excellent and good rate of incision healing in the observation group (97.14%) was higher than that in the control group (85.71%) (P<0.05). The excellent and good rate of eyelid function recovery in the observation group (100.00%) was higher than that in the control group (88.57%) (P<0.05). The incidence of complications in the observation group (2.86%) was lower than that in the control group (11.43%) (P<0.05). The satisfaction rate of the observation group (94.29%) was higher than that of the control group (80.00%) (P<0.05). Conclusion Local ffap treatment in patients with periorbital cosmetic plastic surgery can effectively promote incision healing, accelerate eyelid function recovery, with fewer postoperative complications and higher patient satisfaction.