She was in her forties and had very loose skin under her eyes and serious eye bags. She wanted to have eye bag surgery, but when I told her that it would be better to have external eye bag surgery, she disagreed and insisted on having internal surgery, saying she did not want to leave scars on her eyes. In fact, this patient is right, it is true that internal eye bag surgery is less traumatic, recovery is fast, and will not leave scars on the eyes, but internal eye bag surgery cannot remove the skin, so internal eye bag surgery can only be applied to those young people with tighter skin, and most of the bags that appear at this time are of fat type, which can be released through internal cutting to eliminate the bags. First of all, let’s understand what kinds of eye bag surgery are there? At present, the most common eye bag surgery is internal eye bag surgery and external eye bag surgery, in addition, there is another surgery for orbital release to remove eye bags, this kind of eye bag surgery is not used a lot at present. Internal eye bag surgery Internal eye bag surgery is performed by making an incision inside the conjunctiva of the lower lid to remove the bulging fat, and the eye bag is eliminated. Because the incision is made inside the conjunctiva, there is no surgical trace on the skin, so it is also called precision sculpting and scarless eyebag removal. Applicable people: Young people with good skin elasticity and orbicularis oculi muscle strength. External eye bag surgery The incision is made along the lower eyelash edge of the lower lid to the outer canthus, and the bulging fat is removed after the incision is separated. At the same time, the skin of the lower lid is tightened and the excess skin of the lower lid is removed to remove the wrinkles of the lower lid skin. Applicable people: Those who are older and have poor skin elasticity. Orbital Release Eye Bag Removal For those who have bags under the eyes and tear troughs, you can choose the orbital release eye bag removal method. Orbital septum release is to remove the orbital fat without removing the fat, but only to free the orbital fat in the middle of the inner septum and transfer it to the tear trough to fix it, so that the tear trough will become relatively flat and more natural visually, without local shadows. This procedure effectively lifts the sagging outer canthus, flattens the eyelid skin, and smooths the tear trough while removing eye bags, resulting in comprehensive eye beauty. Applicable people: Those who are older, those who will have sunken eye sockets due to simple fat removal, those who have prominent orbital fat, loose eyelids, and with tear trough depressions. In fact, eye bag surgery has its own advantages and disadvantages whether it is internal, external or septal release, so don’t blindly think which one is better to use, but choose the right surgery for you.