The age of annoying bags under the eyes varies from person to person, most of them occur around the age of forty-five, and bags under the eyes have a great impact on the appearance. Scholars suggest that the process of facial aging change is actually the process of increasing facial curves. The aggravation of bags is an important sign of aging changes in the lower eyelid. With age, and the continuous effect of the earth’s gravitational pull, the skin of the lower eyelid relaxes, the orbital septum support decreases, the orbital septum then prolapses, and the tone of the orbicularis oculi muscle decreases, forming a pouch-like expansion above the inferior orbital rim and deepening the cheek-lid groove, which is known as under-eye bags. From the above, it is easy to see that under-eye bags are actually caused by a combination of factors. It is worth mentioning that some people have a rounded protrusion from the inner canthus to the outer canthus below the eyelashes at the lower lid margin, which is not an eye bag, but due to the hypertrophy of the orbicularis oculi muscle. Some scholars believe that this is an aesthetic sign of the lower lid, called the “orbicularis oculi round pillow”. Preventing bags under the eyes The appearance and aggravation of bags under the eyes is one of the signs of facial mis-aging and gives people a feeling of unspirituality. It is unrealistic and impossible to completely avoid the occurrence of bags under the eyes, because aging is a natural law, but with a little attention, it is possible to delay the appearance and aggravation of bags under the eyes. First of all, adequate sleep, the long-term lack of sleep is an important reason for the premature appearance of bags under the eyes aggravation. Modern research proves that good sleep can significantly improve the blood circulation of eyelid tissues, which can keep the layers of tissues around the eyes in good vitality, thus effectively preventing the occurrence and aggravation of bags under the eyes, if long-term sleep deprivation, the chronic fatigue of tissues around the eyes, blood flow disorders, making the layers of tissues degenerative aging changes, plus the role of gravity, making bags under the eyes appear prematurely, and rapidly increasing aggravation. In addition, balanced nutritional intake, health care massage, high-quality nutritional creams are effective ways to prevent under-eye bags. Correction of under-eye bags If under-eye bags have formed and no self-improvement occurs, it means that the formation of under-eye bags is caused by pathological changes in the tissue structure, and this nature can only be corrected by cosmetic surgery. The pathological basis for the formation of under-eye bags has already been mentioned, so the principle of under-eye bag correction is to remove part of the excess orbital fat, tighten the orbital septum to enhance its support, shorten the orbicularis oculi muscle to improve its tension, remove excess orbital fat, and remove excess skin to eliminate wrinkles. Of course, there are different forms of under-eye bags: for example, puffy appearance, wrinkled appearance, and deepening of the cheek lid furrow, etc. Therefore, there are different forms of expression, and corresponding methods can be used for correction. If the puffy eyes are mainly in the form of puffy appearance and the skin tissue is still in tension, the conjunctival surface approach can be used for correction. In this procedure, the orbital fat outside the bulging area is partially removed through a small incision in the conjunctival surface to eliminate the bags. This method is less invasive and there is no trace of appearance, only some people have mild postoperative swelling and bruising, but they can fully recover within a week. This method has its limitations and can only be used for older people with muscle-skin tissue laxity, and using this method of correction may aggravate the aging appearance of the lower lid. For bags with more than two combined manifestations, correction is performed through a lower lid margin incision. First, the orbital septum fat with physiologic function can be returned as much as possible, or if there is more fat, it can be removed to tighten the orbital septum to eliminate the “bag-like” appearance, and the orbicularis oculi muscle can be treated to improve muscle tone to eliminate the “chordosis”. Finally, the skin is excised to eliminate wrinkles, and finally the skin is closed with fine sutures. This procedure is more invasive, but the results are reliable and it is the most commonly used correction method. In recent years, the “orbital septum release method” has been used to treat those who have an obvious bulging appearance and a deep buccal lid sulcus. This procedure can be performed using a conjunctival approach or a lower lid margin approach, where the orbital septum is completely opened, the orbital septum fat is released, and the sutures are fixed to the buccal lid sulcus, thus eliminating the bulging appearance and filling up the buccal lid to restore the natural transition of youth. Regrets of correction The correction of eye bags is actually a scientific practice, there will be complications of one kind or another, of course some of them are normal complications of surgery, while others are serious complications of eye bag correction surgery, which are caused by excessive skin removal. After eye bag surgery, mild lower eyelid ectropion caused by edema and bruising can be treated without special treatment and can generally return to normal within 2-3 months on its own. For severe ectropion, accompanied by chronic conjunctivitis, repair is very difficult, and the effect is indeed a method of revision, which is contrary to the desire for cosmetology, such as partial removal of the lower lid plate, which will cause shortening of the lower lid and change the shape of the eye; and skin implants and flap transplants, which will leave obvious and unsightly traces, thus it is important to prevent lower lid ectropion after eye bag surgery. Lower lid depression is also a complication of eyebag correction, which is due to excessive removal of orbital fat, and the lower lid depression mainly occurs in the cheek lid sulcus area, which results in an aggravated aging-like appearance. This surgical complication, if it occurs, can only be corrected with autologous fat grafting. The curvature of the lower lid margin is flattened and the curvilinear distension of the lower lid margin is an important aesthetic marker. If during the eyebag correction surgery, no attention is paid to its normal aesthetic structure, and because of the tension of the skin, it will cause the flat patch of the lower lid round curvature, affecting the beauty of the lower lid and exposing the traces after the surgery. Of course there are many complications of eyebag correction, such as swelling, bruising, eyelash loss, scar formation, bilateral asymmetry, etc. However, most of the complications can be completely avoided by experienced specialist surgeons. Misconceptions of the recognition of the eye bags treatment there are misconceptions of one way or another, now some of them are listed in the hope that the beauty seekers will help. Under-eye bags are caused by skin relaxation. This perception has a great representation, in fact, from the above aspects, it is easy to see that under-eye bags are caused by a combination of factors. If its correction is only to tighten the skin, the bags will recur in a short time, and if excessive tightening of the skin will definitely cause lower lid ectropion, scholars now believe that skin tightening is again the most important step in eye bag correction, and comprehensive tightening is the only way to achieve good correction results. The bulging of the eye bags is caused by too much fat. This is also a very representative understanding, the orbital fat has its normal physiological function, its main function is to protect the eye. If the fat is removed during surgery, without repairing the orbital septum, it will definitely lead to a recurrence of the bags, and if a large amount of fat is removed, it will definitely cause a depression of the lower lid and aggravate the appearance of aging. Cosmetics can correct under-eye bags. This has to be said from two aspects, if the bags are “functional”, that is to say, sometimes obvious and sometimes not, the appropriate application of nutritional cream cosmetics, improve local blood circulation, can play a role in preventing the aggravation of bags. Once the bags under the eyes are “pathological”, that is, the tissue structure has changed, and the bags are visible for a long time, and gradually aggravated, if you want to correct them through cosmetics, it is completely futile. The only way to correct this situation is through cosmetic surgery, and the effect is really reliable.