Objective To explore the improvement effect of orbicularis oculi muscle relaxation training on ocular muscle tension recovery in patients after minimally invasive three-point fixation double eyelid surgery. Methods A total of 80 patients who underwent minimally invasive three-point fixation double eyelid surgery at Shahepuzhen Health Center of Gushi County from January 2021 to January 2025 were selected as the research subjects, and they were divided into the control group and the observation group by the random number table method, with 40 patients in each group. The control group received routine rehabilitation training, and the observation group was given additional orbicularis oculi muscle relaxation training on the basis of the control group. The ocular muscle tension recovery, muscle tension recovery time and complications were compared between the two groups. Results The excellent and good rate of ocular muscle tension recovery in the observation group was 90.00%, which was higher than 70.00% in the control group, and the difference was statistically significant (P<0.05). The muscle tension recovery time in the observation group was (14.50±2.50)days, which was shorter than (18.60±3.20)days in the control group, and the difference was statistically significant (P <0.05). The incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P <0.05). Conclusion The implementation of orbicularis oculi muscle relaxation training after minimally invasive three-point fixation double eyelid surgery can effectively promote ocular muscle tension recovery, shorten recovery time and reduce the incidence of complications, which is worthy of clinical application.