Eye bag revision is a relatively common cosmetic procedure, and the formation of eye bags is closely related to changes in the tissue structure of the lower eyelid. When there is too much orbital fat or when the supporting structures of the lower eyelid become lax and weak with aging, the supporting structures become insufficient to stop the herniation of orbital fat and bags form. Changes in the supporting structures of the lower lid include skin laxity/photodamage, orbicularis oculi muscle laxity/hyperfunction, and septal laxity/orbital fat prolapse. Clinically, there are four types of lower lid aging: simple skin laxity, increased septal fat, simple orbicularis oris muscle hypertrophy, and mixed type, with mixed type being the most common. The former is susceptible to muscle damage when separating the skin and orbicularis muscle, resulting in hematoma and decreased muscle strength. The former is prone to injury when separating the skin and orbicularis muscle, resulting in hematoma and decreased muscle strength. The skin flap has poor muscle lifting effect, while the myocutaneous flap conforms to the normal anatomical level, and the separation between orbicularis muscle and orbital septum is very easy, with few blood vessels and little damage to orbicularis muscle. However, after surgery, the “lower lid margin ridge” may disappear and the lower lid plate may become too flat, changing the shape of the original eye and giving it a rigid and unattractive appearance, and even causing complications such as lid retraction. This procedure combines the advantages of the flap and myocutaneous flap methods and has a wider range of indications. The improvements of this procedure are: 1. the shortest path to the orbital septum with the electric knife, adequate intraoperative hemostasis, and minimal surgical trauma. 2. The integrity and continuity of the orbicularis muscle near the lid margin is preserved, allowing the lower lid margin to recover its convexity and natural shape after surgery. 3. Elevating the lower half of the muscle flap not only strengthens the tension of the anterior orbital wall, but also enhances the support of the upper half of the lower lid orbicularis muscle and the lower part of the eye, preventing complications such as lid retraction and lid ectropion. Lower lid ectropion is a common and more serious complication. The greatest advantage of this procedure is that it reinforces the orbicularis muscle and reduces the chance of upper lid ectropion. The orbicularis muscle of the flap and the orbicularis muscle of the lower lid margin are staggered and overlapped, so that the traction is directed downward and the point of action is at the lid plate rather than at the lid margin, thus effectively removing the lid bag, preventing ectropion of the lid margin, and maintaining the appearance of the original orbicularis margin bulge. The orbicularis muscle should not be lifted too tightly during the procedure, as this may pull the lower lid backwards and downwards, causing lower lid retraction, and it is also easy to accidentally cut too much skin and cause lid ectropion. Accurate removal of lax skin from the lower lid is important to remove wrinkles and prevent lid ectropion. In patients with simple skin laxity and mixed bags, there are varying degrees of lower lid skin laxity and wrinkles, and removal or reduction of lower lid wrinkles is one of the signs of successful eye bag surgery. In this paper, the amount of skin removal was determined by the “skin pinching method” before surgery, and the skin was removed first according to the pre-designed method, which has the advantages of accurate skin removal, moderate uniformity, neat incision, and quick and time-saving surgery. The skin pinching method is used to determine the amount of skin removal, and the preoperative design must be exact for the superior view of the patient, and the width of skin removal should be reduced for those with poor skin elasticity and second surgery. Intraoperative dissection of the medial orbital fat bulb artery and adequate hemostasis after removal of the orbital fat body with an electric knife are important to avoid post-bulbar hematoma complications and flatten the lower lid. In the literature, there is no description of the course and thickness of the medial orbital fat bulb artery, but this artery is clinically important in eyebag surgery, and bleeding from this artery can lead to a serious complication of retrobulbar hematoma. Because the middle group is superficial and the medial and lateral groups are deeper among the three groups of orbital fat bodies, in this group, the orbital septum was opened and the artery of the medial group of orbital fat bodies was dissected out, and it was found in clinical practice that this artery was located under the inner and lower envelope of the medial group, and it was about the thickness of a No. 7 or No. 5 syringe needle. The adipose tissue is checked for flatness (usually flush with the infraorbital rim). The advantage of this method is that it avoids the unevenness of the lower lid fat tissue that can result from ligating the orbital fat body and avoids or reduces the complication of lower lid depression. The serious complication of retrobulbar hematoma is reduced or avoided because of the intraoperative dissection of the medial orbital fat bulb artery. According to the preliminary observation of clinical application, the authors believe that the main points to be noted for external eye bag revision surgery are: 1. the anatomical level should be clear 2. do not use forceps to reach into the orbit through the orbital septal incision and pull the fat mass outward, which can easily cause postoperative intraorbital hematoma, and always cauterize to stop bleeding after removing the fat mass 3. do not think that the more intraorbital fat is removed, the better, it can lead to sunken eye sockets and adhesions 4. the lower lid margin should be sutured because of The two orbicularis oculi muscles are preserved and overlapping sutures are added to strengthen the lower lid support, reducing complications such as lower lid recession and ectropion. This minimizes or prevents the occurrence of complications. In conclusion, clear and gentle surgical anatomy, focus on noninvasive or minimally invasive, and reduce intraoperative and postoperative bleeding are the best ways to accelerate postoperative recovery; correct treatment of the skin, orbicularis muscle, and orbital fat is the guarantee of satisfactory results in lower eyelid rejuvenation surgery, and this method provides a clear, minimally invasive, and stably effective modified procedure for eyelid rejuvenation for physicians with some basic knowledge of plastic surgery operations. For reference and promotion.