Often people come to us with questions about bags under their eyes, and some say I’ve been aging really fast lately, so you should remove the bags under my eyes. After reading this, I realize that many patients have misconceptions about eye bags. First of all, what are eye bags. Eye bags are bags formed by herniation of fat from the orbital septum of the lower eyelid due to relaxation of the orbicularis oculi muscle and the orbital septum, and fat bulging out. The formation of bags under the eyes can certainly look old and tired. However, another feature of the aging appearance is the hollowing of the eye area, especially the lower lid. This depression is caused by fat loss, thinning of the skin, and increased wrinkles in the area around the eyes. In these patients, removing the fat from the orbital septum will only aggravate rather than improve the appearance of aging. The correct treatment is to properly remove the true excess of orbital fat and lower lid skin and tighten the loose orbicularis oculi muscle. Autologous fat can be filled near the orbital rim of the lower eyelid or even the sunken area of the upper eyelid to make the entire periorbital area full, in order to restore a youthful appearance.