Eye bags, in layman’s terms, are bulging, puffy lower eyelids, giving a feeling of tiredness, lack of energy, and old age. Because the eyelid skin is thin and the subcutaneous tissue is small, it is easy to relax, and edema tends to occur during poor rest, or disease, and in the long run, bags form. The medical definition of under-eye bags is: the lower eyelid skin, subcutaneous tissue, orbicularis muscle and orbital septum are relaxed, and the fat in the orbital septum protrudes to form a bag-like bulge called an under-eye bag. Under-eye bags are one of the signs that the body is starting to age. Adults, especially light-skinned women, will have bags under their eyes after the age of 25. There are also congenital bags under the eyes, which are present before adulthood and start to gradually increase in size until after the age of 25. This is when most of us don’t care too much and don’t want to get it done or wait to do it again. In fact, this is all wrong. Because the bags under the eyes at this time are only protruding orbital fat and the skin is very elastic, as long as the fat is extracted and the skin is not moved, the bags can be removed and the top support of the protruding fat on the skin is also lifted, which slows down the aging of the skin. Reasons for the formation of bags under the eyes: the human orbicularis muscle moves thousands of times a day, pulling the superficial skin stretching, easily causing premature aging and relaxation of the thin skin; with the growth of age, irregular work and rest, congestion in the eye skin tissue, slow metabolism, slow loss of collagen and elastic fibers, the fat that supports the eye bulges forward and downward, and bags form under the eyes. A few young people also have bags under the eyes, mostly due to genetics, chronic diseases and irregular life style. Once the bags are formed, it will make people feel aging and haggard, with the feeling that their youth has passed. Cosmetic surgery clinics often encounter young and middle-aged women who ask for under-eye bag surgery, after examination and consultation, doctors will reject some of them. Why? Because these people only have a bulge in the lower eyelid when they smile, commonly known as the “sleeping silkworms”, medically known as muscle eye bags. Folk believe that “lying silkworms” can increase the affinity, have a very good opposite sex, its perception and bags under the eyes of haggard, old very different. This group of people also has a groove next to the nose, called tear trough. The contrast of having a tear trough makes the lower eyelid look bloated and like it has bags under the eyes. In this young population, it is possible to improve the appearance by filling the tear trough with autologous fat or uric acid. Excluding the above two conditions, the diagnosis of lower eyelid bags can be made. Mild bags under the eyes are more obvious only when looking upward, and can be improved through eye care and treatment. Moderate to severe bags under the eyes, which are obvious when looking both flat, should be treated surgically. Eye bag surgery has many variations and many names. But in summary, there are no more than two kinds: internal and external. For young people with under-eye bags, good skin elasticity and basically no static wrinkles, you can consider internal surgery to remove under-eye bags. The surgery is convenient, and there is no external scar and trace after surgery. External eye bag removal is suitable for middle-aged and elderly people, who not only have bloated lower eyelids, but also have static wrinkles and poor skin elasticity. In this procedure, the skin is cut 1-2mm below the eyelashes of the lower lid, the orbicularis oculi muscle is removed, the orbital septum is opened, and the excess fat is removed, or the fat is reset and the excess skin is removed. The incision is concealed under the eyelashes, and with a little makeup half a month after surgery, no traces of the surgery can be seen. Aesthetic plastic surgery is a delicate procedure, with many variations in the specifics of the procedure, and the post-operative results are evaluated by family and friends, and cannot be handled by a highly qualified aesthetic plastic surgeon who is not specially trained to deal with subjective and objective dissatisfaction with appearance. Therefore, cosmetic plastic surgery is not generally competent doctors. Advise beauty lovers must go to the regular medical institutions to find experienced and qualified cosmetic plastic surgeons to operate for you, so as to minimize the risk of post-operative complications.