The key to the success or failure of blepharoplasty is to control the amount of loose skin and orbital fat removed from the lower lid during surgery. Clinically, it should be considered according to the type of bags, the distribution of orbital fat, the elasticity of the skin limbs, and the surgical method adopted by the patient. Careful examination should be performed before surgery to determine the protruding fat areas, and gentle and delicate operation should be performed during surgery to achieve the most perfect postoperative results. Blepharoplasty can remove all types of bags and can correct lower lid entropion and impingement. Currently, there are two methods, one is the lower eyelid margin incision method, which is mainly suitable for those who have increased wrinkles on the lower lid, those who have sagging skin and herniated orbital fat, and those who require repair of a wide lower eyelid line. The incision is made along the lower eyelid margin about 2mm from the outer canthus to the inner canthus, opening the orbital septum, allowing the orbital fat to herniate, removing excess fat, and removing the appropriate amount of skin according to the degree of skin laxity. The other is the lower lid conjunctival incision method, because this procedure does not leave any trace on the skin, so it is falsely advertised by some newspapers as “fat absorption method to remove eye bags without traces”. For some patients who are younger, with less obvious skin laxity, but with orbital fat bulging out of the lower lid, a conjunctival incision can be used to simply remove the excess orbital fat, and the conjunctival incision does not need to be sutured, that is, satisfactory results can be achieved, and there is no incision on the skin of the lid margin, so of course, no suture removal is needed. As for the specific method to the individual it needs to be decided after a hospital visit and discussion with the doctor.