What should I do if I have heavy bags under my eyes and tear troughs in my 40s?

According to the description of this candidate: aged 40, she has heavy eye bags and tear troubled. There are many non-surgical methods to get rid of under-eye bags on the internet, such as: fruit compress, eye massage, squinting exercise, eye cream cover-up, eye patch relief, ice compress and hot compress, etc.. These methods may be somewhat effective for pseudo eye bags, but there is no more definite method than surgery for real eye bags. At present, there are two options suitable for you: (provided that the excess fat at the eye bags is enough to fill the depression of the tear trough) 1. Orbital fat release to get rid of eye bags 2. Tissue flap transfer to get rid of eye bags Many beauty seekers may still hear their names for the first time and wonder what is special about them compared with the traditional methods to get rid of eye bags? First of all, let’s understand these two techniques: 1, the principle of orbital fat release to get rid of eye bags: on the basis of preserving the edge of the orbital fat arch, the orbital fat mass in the middle of the medial side is freed and transferred to the position of the tear trough to be fixed with sutures, and then the excess skin is removed, so as to “repair the lax eyelid tissues and level the lid-cheek furrow (tear cheek furrow) The purpose of this procedure is to “repair the lax eyelid tissues and flatten the cheek sulcus (tear cheek groove). 2.Principle of tissue flap transfer to remove eye bags: The orbicularis muscle and orbital septal fascia ligament are loosened to form a specific tissue flap, which is lifted and fixed on the orbital bone periosteum. Release the fat in the orbital septum, fill in the orbital periosteum to improve the tear trough, and cut out the excess lower lid skin. Compared to traditional methods of removing eye bags, here are their advantages: 1. Advantages of orbital fat release to remove eye bags: Compared to traditional eye bag removal surgery, its advantage lies mainly in not going to the fat and flattening the excess fat to the sunken lid sulcus. This has two advantages: one is that there is no sunken phenomenon caused by excessive fat removal. The other is that it solves the problem of eye bags and tear troughs in one stroke, and is more natural and coordinated in appearance. 2.Advantages of tissue flap displacement to remove eye bags: It is based on clinical experience to do some surgical improvements to the traditional surgery to remove eye bags, the skin and tissue flap of the lower eyelid area are lifted and fixed separately, the benefits are: the lower lid tightening effect is more obvious, does not affect the shape of the eye. Prevents eyelid ectropion. Addresses under-eye bags, tear troughs, and improves mid-facial aging. How exactly do I choose? It depends on which signs of aging you want to improve. If you simply want to improve the signs of aging such as bags and tear troughs, you can consider orbital fat release to remove bags; if you want to simultaneously improve mid-facial aging problems, such as lines, you can consider tissue flap transfer to remove bags. What if the excess fat in the eye bags cannot fill the tear trough? You can fill the tear trough with autologous fat after orbital fat release or tissue flap transfer to remove eye bags. You can also consider using hyaluronic acid, autologous fat or tumescent to fill in the hollows of the tear trough after external eye bag removal surgery.