Under-eye puffiness is a bag-like shape formed by the protrusion of fat from the orbital septum after the skin of the lower lid has relaxed. Genetics also plays a part in the formation of puffy eyes. For example, if you have fat protruding at the age of 18 or so, this is usually a family genetic predisposition. In cases like this, young people usually choose internal eye bags without skin removal or fiber optic lipolysis to remove the bags. If the candidate is older, the bags under the eyes – the skin is sagging and the fat in the orbital septum is protruding. In this case, surgical removal must be done. Both the skin is removed and its protruding orbital septal fat is removed. Is it risky to get rid of eye bags surgery? In the cosmetic surgery of the eyes, we think it should be among the less risky ones, with a more hidden incision and faster recovery. It can achieve a more satisfactory result for people with different conditions of under-eye bags fat, so we think it is less risky. However, it is surgery will have certain risks. For example: 1, older people do skin removal, fat removal, too much skin removal causes lid ectropion, or called dewy eyes, lid retraction. Doctors must grasp the amount of skin removal, this is a strict standard. If too much skin is removed, this may happen, but if not enough skin is removed, the wrinkles may not improve very much, and a satisfactory result may not be achieved. For example, she was born with thin orbicularis oculi, which means that she does not have the so-called sleeping silkworm. In this case, when we do the external eye bag surgery, it is best to strengthen the canthus under the skin, that is to say, to do an external canthus suspension, in this case can effectively avoid the exophthalmos. 2.After removing the fat, the capillaries bleed and cause local hematoma, so it is necessary to remove the hematoma and operate again. Even some serious intraorbital hemorrhage will cause this posterior bulb hematoma (this is the biggest risk of eye bag surgery, textbooks also say so), compression of the optic nerve causing blindness which is possible. But this risk, relatively speaking, is very, very low. Therefore, although the surgery to remove eye bags may seem simple, it has certain risks. If you go to a regular hospital and choose an experienced surgeon to do the surgery, these risks can be effectively avoided. After eye bag surgery, how long does it take to recover naturally? Unlike double eyelids, eye bag surgery requires both swelling and a relatively slow recovery process. Usually eye bag surgery has 1~2 weeks to recover more naturally.