How do bags under the eyes form? In general, the formation of under-eye bags is mainly related to the aging of facial tissues and degenerative changes, in other words, the various factors that cause the aging of the extra-ocular tissues around the eye, structural degeneration and make the tissue elasticity weaken or orbital fat increase can lead to the formation of under-eye bags, commonly speaking, the occurrence of under-eye bags is either tissue relaxation or tissue increase. What kind of under-eye bags need to be done? Eye bags can be classified as mild, moderate or severe depending on different conditions. In general, mild lower eyelid bags have a mild degree of structural alteration around the eyes, the contents are not obviously bulging, and the area of laxity and bulging is often limited to the area above the lower edge of the orbital bone, which can be treated without surgery. In contrast, moderate and severe bags under the eyes, in addition to the obvious bulging of the contents, are also accompanied by crow’s feet, and even changes in other facial structures such as the eyebrows and outer canthus, which require surgery for correction and treatment. What are the methods to get rid of under-eye bags? For mild under-eye bags, they can be corrected by methods such as eye care in life beauty, but they are not applicable to moderate to severe under-eye bags, and the results are often unreliable. For moderate to severe under-eye bags that have been formed, better results can only be achieved through surgical methods. Clinically, surgery is generally divided into two types: internal approach and external approach. The internal approach is often boasted by some individual beauty salons as the “liposuction for under-eye bags” with “no incision, no surgery, no traces”, but in fact, this method is the internal approach in the end, which also requires incision and anesthesia, etc. The external approach is the most commonly used surgery in the clinic. The external approach is the most commonly used surgical method in clinical practice. What kind of people are suitable for the internal approach? What are its advantages and disadvantages? The internal approach is called “lower eyelid conjunctival incision approach”, which is mainly used for young people who simply have too much orbital fat displacement or bulging without skin laxity, as well as some patients with mild bags who do not want to undergo the external approach due to various reasons and require no incision scar or have important social activities in the near future. The internal approach has the advantages of light reaction, quick recovery, and scarless skin appearance, but for patients with lower lid skin and orbital septum laxity, the results are not ideal because it cannot lift the lower lid orbital septum and get rid of the excess lax skin. Therefore, we generally do not consider this method for patients over 35 years of age. What type of person is suitable for an external approach? What are its advantages and disadvantages? In principle, it can be applied to all lower eyebag correction without contraindications, specifically for the following types of candidates: ① lower eyebag of middle-aged and elderly people, moderate to severe; ② lower lid skin laxity, mild orbital fat bulging, mild lower eyebag; ③ simple skin laxity or simple orbicularis muscle hypertrophy who urgently request surgery. How is the eyebag removal surgery done? For both the internal and external approach, an incision is required. In the internal approach, the incision is usually chosen at the conjunctival plane near the lid margin (inside the lower eyelid), and the orbital septum is compressed after the incision to make the fat bulge out, and then the fat is removed in an appropriate amount depending on the situation; in the external approach, the incision is chosen at 1.5~2.0mm from the lower lid margin at the lowermost row of lashes, and a linear incision is made along the lid margin in the outer skin of the lower lid, and the orbital septum is opened layer by layer, and the orbital fat is removed under direct vision, and the excess orbicularis muscle and lower lid skin can be removed depending on the situation. The orbital fat is removed under direct vision and the excess orbicularis muscle and lower lid skin can be removed. How long does it usually take to remove eye bags? How long does it take to recover after surgery? Are there any after-effects after surgery? Eye bag removal is a relatively simple and quick procedure for a qualified plastic surgeon, whether it is an external or internal approach. The internal approach is shorter and the whole surgery can be completed in half an hour; the external approach takes a little longer and the whole surgery usually takes about 1 hour. The stitches can be removed in 6-7 days after eye bag removal surgery, and the swelling can be basically reduced in about 10 days after successful eye bag surgery, and a few people may have a slight, linear red scar in the incision, which can generally return to normal after 2-3 months. Many candidates are concerned about what complications there may be after the eye bag surgery, especially whether the external approach will leave obvious incision scar. In fact, this is an unnecessary worry, because the lid margin is the thinnest skin in the whole body, even if the scar is formed, it is very small and generally not easy to detect; in addition, the regular medical institutions are very careful in terms of incision and suturing, and the sutures used are also special cosmetic surgery sutures. In fact, the most important thing is the physician’s careful examination and design before surgery, as well as the grasp of the degree of tissue removal during surgery. In terms of complications, the most common one is lower lid ectropion caused by excessive tissue removal, which is often caused by inexperience, inadequate preoperative consideration or intraoperative errors, and once this happens, it is very difficult to fix; in addition, a few patients will also have hematoma and infection, which are very rare in regular medical institutions. What methods can be used to promote recovery after Blepharoplasty? Ice compress for 3-5 days after surgery can stop the bleeding and reduce the swelling in the early stage, which is the most important care means in the early stage; after 5 days the hot compress can promote the swelling to subside and the bruising to dissipate.