Lower eye bag correction is one of the most common cosmetic procedures. The so-called bags under the eyes are the lower eye bags, also known as lower eyelid skin prolapse, often manifested as the lower eyelid area bloated and bulging, loose skin, skin wrinkles, and even the formation of bag-like structure, giving a person a sense of fatigue and old age, looks no ‘spirit’; coupled with the eyes – the window of the soul of the specificity and importance of this, so this type of surgery is often the more requested by the candidates of the cosmetic surgery. It can occur at any age due to different reasons for its formation. According to the formation of bags under the eyes of different causes and external performance, clinical generally divided into four types: 1, simple orbicularis oculi muscle hypertrophy type. This part of the population is mostly due to congenital heredity caused by the birth, after birth, childhood is not obvious, after adulthood is more obvious. Its prominent feature is close to the lower eyelid margin, arc-shaped continuous distribution, the skin is not loose. 2.Simple skin laxity type. This case for the lower eyelid and outer canthus skin laxity obvious, there are skin folds, skin elasticity is poor, but no local bulging, fine wrinkles around the eyes. This condition is more common in middle-aged people. 3.Orbital fat prolapse type. This type of patients show bulging of the lower lid area, but skin laxity is not obvious, and there is no obvious skin fold, and the skin elasticity is good. It is mainly caused by congenital overdevelopment or fat prolapse of orbital septum fat, which is mostly seen in middle-aged and young people, and is also more common in clinic. 4.Mixed type. This is the most common type of bags under the eyes of middle-aged and old people, and it is the more typical eye performance of people entering middle-age and old age. Typical performance: the lower eyelid area is bloated and bulging, local skin laxity, skin elasticity is poor, there are skin folds, some of them are baggy, tear trough is obvious, more prominent when sleep deprivation. This is mainly because the skin, orbicularis oculi muscle and orbital septum and other layers of tissues are loose, the “mesh pocket effect”, resulting in orbital septum fat due to the effect of gravity prolapse or fat increase protrudes from; very serious due to the laxity of the lateral canthal ligament, the eyelid plate may appear in varying degrees of exophthalmos, lid bulb separation, and often tearing, occasionally in some middle-aged and elderly people. The bags under the eyes can be corrected by the following methods. Regarding the correction of bags under the eyes, the current science and technology is roughly divided into two categories: one is non-surgical treatment, such as radio frequency treatment, electroporation, etc., the advantages of this type of treatment is non-invasive, no risk, fast onset of action, the disadvantage is that the maintenance time is too short, can only be maintained for about 1 year or so, or even only a few months, and once the recurrence of the recovery will return to the former, and not know the difference between the treatment before the possible not obvious, should not be It should not be the real meaning of removing bags under the eyes. This method was once popular for a period of time, but now the application is less and less. The other is surgical treatment, which is the real meaning of eye bag correction. The surgical method after many years of domestic and foreign scholars continue to improve and improve, especially on the mixed and complex causes of under-eye bags and the principle of research, has been from the initial simple skin tightening to correct under-eye bags, and gradually formed a complete set of under-eye bags for the formation of the cause of the more mature integrated correction method, so that the complication rate of under-eye bags surgery is greatly reduced, the surgical effect greatly improved. So, what kinds of eye bag surgery? According to the above reasons for the occurrence of bags under the eyes and the external manifestations of the orbicularis oculi muscle correction, skin tightening, muscle tightening, orbital septum reconstruction and orbital septum fat removal or release and other targeted surgery, only in this way can we get a better clinical results. If categorized according to the incision method, it is two methods, one is transcutaneous incision surgery, i.e. external incision; one is transconjunctival incision surgery, i.e. internal incision. There are scholars will be divided into three surgical methods, that is, the above two, plus laser or photon knife bags under the eyes, the latter way to put it bluntly is also a transconjunctival incision surgery, just with a different cutting tool. Advantages and disadvantages of specific surgical methods 1, transconjunctival incision eye bag correction (including laser or photon knife). It is also known as scarless eye bag removal because there is no incision in the skin. The surgery is usually performed by flipping the eyelid and making an incision from the inner side of the eyelid through the conjunctiva above the lid, with the main purpose of removing orbital septal fat. Despite recent work on orbital septum and orbicularis oris muscle management through this incision, given the limitations of this incision, it is still mostly used only to remove excess orbital septal fat, also known as liposuction. The procedure is mainly suitable for people with elevated lower lid area without obvious skin laxity or localized elevation with mild skin laxity; it is generally not suitable for moderate or severe lower lid bag correction unless one has special requirements. Advantages are: no incision in the skin, no scar in appearance. Postoperative with no bandage, no need to remove stitches, faster recovery. Disadvantages: limited improvement. 2.Transcutaneous incision eye bag correction. The operation is usually performed by cutting the skin about 1mm below the eyelash of the lower lid margin, and depending on the specific situation, the skin is lifted and tightened, the orbicularis oculi muscle is suspended, the orbital septum fat is removed or the arch rim is released, and the orbital septum is reconstructed, etc. It is suitable for all types of under-eye bags. It is suitable for all types of bags under the eyes, especially for those who require a significant improvement in the postoperative result. Advantages: good corrective effect. Disadvantages are: complicated operation and slightly longer recovery period. Need to change medicine and remove stitches. The skin is left with surgical marks, which are not noticeable after about 6 to 12 months. Eye bag correction surgery will appear due to the different surgical methods of the effect of large differences in the phenomenon, especially mixed complex bags under the eyes; and around the eyes is particularly easy to swelling, bruising, and even hematoma, etc., and swelling is a longer work, individual differences and larger, the lower eyelid area of the skin and thin, coupled with the poor elasticity of the skin in some patients, is very likely to appear in the lower eyelid tightness, localized hardness, etc., although these cases are about 3 to 12 months after surgery, but not obvious. Although these conditions disappear in about 3 to 12 months after surgery, the psychological impact on the patient is enormous. Therefore, before surgery, patients should have a full understanding of the possible situations that may occur during the recovery period, so that they are well informed, do not panic after surgery, and actively cooperate with the doctor’s treatment; the doctor should strive for excellence, careful operation, and strive to reduce or avoid the occurrence of such situations. In other words, patients should have an in-depth and good communication with the doctor before surgery, and then work out the best plan for your eye bags. Truth be told, eye bag surgery is not inherently risky, but it is not easy to achieve perfection. No matter who you are and how skilled you are, you can’t guarantee 100% patient satisfaction, let alone a 100% smooth recovery. What a surgeon can do is to do his or her best to achieve the best possible outcome. When you decide to choose to eliminate under-eye bags through surgery, you must be careful; you should choose your body is in better condition to carry out, women should avoid menstruation period, and choose a regular professional hospital. After surgery, you must cooperate with the doctor’s treatment, which is the fundamental guarantee of the success of the surgery. To believe that the surgeon and you in the treatment of the desire is highly consistent, step in order to win! After eye bag surgery precautions 1, postoperative oral antibiotics and swelling medication. You can take painkillers, but avoid taking aspirin-type drugs, so as not to aggravate the wound bleeding. 2.Post-operative can use ice packs local cold compresses for 1 to 2 hours to prevent secondary bleeding of the wound and reduce edema. 3.Avoid exertion, crying and local trauma after surgery to avoid hematoma. 4.After the operation, please ask the doctor to change the medicine for 1～2 days to see if there is any abnormality, and treat the symptom in time. 5.If there are any abnormalities such as eye swelling and pain, bleeding, etc. after surgery, please ask the doctor to deal with them immediately. Never be paralyzed and strictly prohibit self-treatment. Never follow the feeling!!!! 6.Remove the stitches 5 to 6 days after the operation. Can bags under the eyes be prevented? It is impossible to prevent those caused by congenital factors. However, ensuring adequate sleep, regular work and rest time, not smoking, not staying up late, maintaining a happy mood, coupled with appropriate skin care, such as masks, will help to minimize or alleviate the occurrence of bags under the eyes.