For patients over the age of 40, if the bags under the eyes are obvious and meet the surgical criteria, patients can have surgical treatment, but it is generally not recommended to perform the internal method to remove bags under the eyes, and it is more suitable to perform the external method to remove bags under the eyes. The main methods of under-eye bag surgery currently include internal and external methods, in which the external method can remove excess muscle and skin and smooth out localized tissues, so it is more suitable for middle-aged and elderly people, especially for moderate and severe under-eye bags. The internal approach is more suitable for younger people as the procedure is different and mainly deals with the tissue on the front wall of the eye bags. Under-eye bags after the age of 40 will also be accompanied by sagging of the lower eyelids and tear troughs, so the internal approach is not recommended to get rid of under-eye bags. In addition, menstruation, high blood pressure, acute eye infections, and other people are not recommended to do the internal method of removing bags under the eyes. It is recommended that patients with obvious bags under the eyes visit a regular hospital to assess their condition and follow the doctor’s instructions to choose the appropriate treatment.