With this “bag gutter”, the whole face looks full of vicissitudes at the end of the year party you dare to attend? Then how can we effectively improve the “bag gutter” problem? First of all, we have to distinguish between bags and tear troughs and put them in the right place. Tear trough is a groove that starts from the inner corner of the eye on the lower eyelid against the nose, and some people can even extend to the cheek. Due to the contrast between the sunken tear trough and the surrounding skin, the lower eyelid tissue looks a little bloated and bulging, thus it is easy to be considered as eye bags. For under-eye bags 1, external eyebag removal (external incision) External eyebag surgery is an incision along the lower lid lower edge of the eyelashes to the external canthus, removing the bulging eyebag fat, while tightening the lower lid skin, removing the excess lower lid skin, and removing the lower lid skin wrinkles. This method is suitable for lower lid eye bags with skin laxity and orbital fat prolapse, and is especially suitable for removing moderate and severe eye bags. Advantages: the skin, orbicularis oculi, orbital septum and orbital fat can be treated simultaneously, with wide indications and reliable postoperative results. 2.Internal eye bag removal (internal incision) The fat under the eyes is removed through a small incision (dotted) in the conjunctival sac of the lower eye. Thus, there is no incision on the skin surface. It is mainly suitable for young people with simple orbital fat bulge and good elasticity of the lower lid skin, and is not suitable for moderate to severe eye bags with obvious relaxation of the skin, orbicularis muscle and orbital septum. Advantages: less tissue damage, less bleeding, no skin incisions, no visible scarring after surgery, no complications such as lid ectropion, tearing, incomplete closure, lower lid recession, etc. For tear troughs 1. Autologous fat filler for tear troughs This procedure uses the negative pressure suction technique of syringe to extract its own fat, and after washing and precipitation and filtration processes to obtain high quality fat, it is injected into the tear trough location in layers. Features: Autologous fat is safe, reliable, widely sourced, less painful surgery, fast recovery, exact results, and long-lasting effects (surviving fat is permanent), while autologous fat is its own tissue and contains fat stem cells, which can produce a variety of active substances and can significantly improve local skin texture. 2.Hyaluronic acid filling tear trough Hyaluronic acid, also known as hyaluronic acid, is one of the components of the human skin dermis and can be injected and filled into the tear trough depression to support the dermal tissue and fill the depression. Features: convenient, quick and less invasive. If eye bags and tear troughs exist at the same time, orbital fat transfer method can be considered. 3.Orbital septal fat transfer method Orbital septal fat release surgery adopts orbital septal autologous fat release to transfer and evenly distribute eye fat, effectively flattening the tear trough and eliminating eye fat bulge, making the eyes more beautiful and younger. In addition, because no fat is removed from the orbital septum, there will be no sinkhole formation due to excessive fat removal. The incision is hidden and the recovery is fast.