1.How are under-eye bags formed? Due to excessive accumulation of intraorbital fat or weakness of the lower lid support structure and the original balance changes, intraorbital fat protrudes to form the lower lid skin pocket protrusion that forms eye bags. Part of the formation of under-eye bags is mainly genetic, mostly seen in young people, with excess intraorbital fat as the main cause. The other part is caused by ageing skin and muscle relaxation, mostly seen in middle-aged and elderly people. At present, many people do not rest well, lack of sleep, psychological stress, is also an important reason to induce under-eye bags. Commonly seen in white-collar workers and long hours in front of the computer. 2.Is there a difference between real and fake under-eye bags? Pseudo-eye bags are mostly due to temporary lower lid bulging caused by poor rest, excessive crying, etc. These bags can generally subside after rest. However, under-eye bags caused by hereditary excessive intraorbital fat or aging of lower eyelid tissues are true under-eye bags, which cannot fade away after rest, and it is difficult to make them disappear and cover up with any medicine or superb make-up. Moreover, the bloating, laxity and sagging of the lower eyelids will become more and more obvious with age. It should be especially noted that some people have a rounded protrusion below the eyelashes at the lower lid margin, from the inner corner to the outer corner of the eye, 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 “orbicularis oculi round pillow”. 3.How to prevent the appearance of bags under the eyes? The appearance and aggravation of eye bags is one of the manifestations of natural facial aging, so it is unrealistic and impossible to completely avoid the occurrence of eye bags, but it is possible to delay the appearance and aggravation of eye bags through some measures of daily life. The most important point to prevent the premature appearance of bags under the eyes is to ensure adequate sleep, modern research has proved that good sleep, can significantly improve the blood circulation of the eyelid tissue, can make the layers of tissue around the eyes to maintain good vitality, so as to effectively prevent the occurrence and aggravation of bags under the eyes, if long-term sleep deprivation, the periocular tissue chronic fatigue, blood flow disorders, so that the layers of tissue degenerative aging changes, and then the role of gravity If you don’t get enough sleep for a long time, it makes the tissue around the eye area chronically fatigued and blood flow is impaired, which makes the various layers of tissue degenerative aging changes, and then the effect of gravity, which makes the bags under the eyes appear prematurely and increase rapidly. In addition, a reasonable dietary intake, regular health care massage around the eyes, high-quality nutritional creams can delay the appearance of bags to a certain extent. 4.What should I do if I already have bags under my eyes? For the above-mentioned pseudo-puffy eyes, you can accelerate its recovery by strengthening rest, avoiding late night, moderate eye use, and applying eye massage. However, for the above-mentioned true eye bags, the only way to remove them exactly is through cosmetic surgery. 5.Is it better to remove under-eye bags through surgery as early as possible? Yes, if there are more obvious bags under the eyes, and confirmed to be true bags under the eyes, you need to find a regular plastic and cosmetic surgeon as soon as possible to undergo eye bag surgery. Some people think that their bags are not too obvious, always want to wait until the bags are bigger and then remove them, this concept is wrong, the result will be to pay a heavy price for premature relaxation of the lower eyelid skin. 6.Is eye bag surgery safe? How to choose the right treatment method for you? Eye bag surgery is a mature and safe cosmetic surgery, experienced regular plastic surgeons can minimize the risk of surgery. Eye bag surgery is a local anesthesia procedure that does not interfere with eating before surgery and does not require hospitalization after surgery. The basic procedure of surgery is to remove the bulging fat mass in the orbital septum for the purpose of removing eye bags. The mainstream methods are currently divided into the transconjunctival approach (internal approach) and the transcutaneous approach (external approach). In the internal approach, the incision is made within the conjunctiva of the lower eyelid, so there is no need to remove stitches after surgery, and there is no surgical incision on the outside. The advantage of this method is that there is no stitching and no skin incision after surgery, and recovery is quick. However, the disadvantage is that loose lower lid skin cannot be removed. Therefore, this method is suitable for young candidates who do not have significant laxity of the lower lid skin but have more intraorbital fat, such as students and young white-collar workers. The external incision is made on the lower lid at the lower edge of the eyelashes and the stitches are removed 5 days after surgery. The advantage of this method over the internal incision is that in addition to removing the bulging intraorbital fat mass it also allows for the removal of excess loose lower lid skin. Although the skin is incised, there is no scarring after surgery and you can return to your preoperative state in about 1 week. This method is particularly suitable for middle-aged people who have lax lower lid skin. The basic procedure for these bags is not to remove the fat, but to release the fat from the orbital septum, fill it in and fix it on the already separated infraorbital periosteum, flatten the depression, repair and strengthen the orbital fascia, and suspend the lax orbicularis oris muscle to the orbital periosteum and remove excess skin. Before the surgery, the plastic surgeon will provide a surgical plan that suits the characteristics of the candidate according to his own characteristics. 7.Will the eye bags recur after surgery? Eye bag surgery can delay the recurrence of eye bags to the maximum extent, but with age, natural aging is irresistible, so after a certain age, with facial aging, eye bags may appear again. Therefore, you should not think that everything is fine after under eye bag surgery, you should still pay attention to maintain a healthy lifestyle, ensure sleep and try to stop staying up late to delay the recurrence of under eye bags to the maximum extent. If the bags appear again, a second surgery can be performed.