However, there are always people who confuse it with the legendary sleeping silkworm, which is greatly incorrect, as the two are very different in terms of formation and appearance. Eye bags or silkworm? Are you clear? The lying silkworm (eye table) is a bulge of skin shaped like a silkworm on the lower lid margin, and is usually not obvious or does not appear when there is no expression. The bags under the eyes, on the other hand, do not appear in a more downward position, because the fat accumulation in the lower eyelid, so gravity will often be a certain distance from the lower lid margin; in addition, the area involved in the bags will also be larger, unlike the silkworm treasure and like a pocket. What are the reasons for the formation of under-eye bags? The occurrence of under-eye bags is mainly related to three tissue structures, orbital septum, orbicularis oculi muscle and skin. In young people, eye bags are mostly due to the loosening of the lower lid orbital septum, which makes the fat of the lower lid protrude and gives the appearance of eye bags. In middle-aged and elderly people, bags under the eyes are not only due to the loosening of the orbital septum, but also due to the loosening of the orbicularis oculi muscle and skin, which often combine to create the appearance of bags under the eyes. Therefore, the more factors involved in the formation of bags under the eyes, the more severe the loosening of tissues, the bigger the bags will become. Nowadays, there are so many methods on the market to get rid of under-eye bags, which one is the most effective one to choose? We often receive many inquiries about minimally invasive treatment methods for under-eye bags, such as liposuction, lipolysis, radiofrequency, etc. Although these methods produce good results for some patients, due to the narrow indications of these methods, they are generally only applicable to candidates with only one factor of orbital fat protrusion and to a lesser extent. In addition, due to the blinded nature of these methods, the degree of fat removal cannot be objectively controlled and may be lacking or excessive. Therefore, the most effective and safe way to get rid of under-eye bags is still mainly surgery. The surgical incision is made on the lower eyelid at the lower edge of the eyelashes, and the cause of the surgery is different: removal of excess fat from the orbital septum, tightening of the orbicularis muscle and removal of excess skin. It is suitable for people who have both orbicularis oculi and skin loosening factors. Internal Eye Bag Removal An incision is made on the conjunctival surface of the eye to partially remove intraorbital fat. This is suitable for people without lower lid skin and muscle laxity, and where only the fat protrusion is the main factor involved. Orbital fat release Orbital fat release can improve the tear trough by retaining the orbital fat and releasing it to fill the tear trough, which can solve the problem of eye bags and improve the tear trough at the same time, thus killing two birds with one stone. Will the bags grow back after surgery? It is possible. Why? First of all, due to its tissue specificity, the orbital fat will not grow back once it is removed, so this aspect will basically not be involved in the formation of eye bags. However, the orbicularis oculi muscle and lower lid skin will loosen again as we age, and the bags may appear again. So to slow down the aging of the eye area, you must remember to reduce late nights, avoid eye strain and take good care of the skin around your eyes! All treatments for under-eye bags should be carried out for their causes to ensure the effectiveness and stability of the treatment. Therefore, you must go to a regular professional plastic surgery hospital, choose a professional plastic surgeon with rich clinical experience and excellent technology to perform the surgery, and develop a personalized plan to get rid of under-eye bags for different situations in order to get the best post-operative results.