The difference between the sleeping silkworms and the bags under the eyes lies in the cause of formation, the shape and the treatment program. 1. 1. Different reasons for the formation of silkworms are due to the congenital development of orbicularis oculi muscle hypertrophy, with a certain degree of elasticity; while the bags under the eyes are due to the formation of acquired, mostly due to the eyelid skin, orbicularis oculi muscle, the orbital septum relaxation of the fat prolapse. 2. The shape is different, the silkworms are close to the edge of eyelashes and are 4-7mm strips, while the bags are farther away from the eyeballs, mostly occurring in a semicircle, similar to the shape of triangles, with folds. 3. Different treatment programs, silkworms do not need to carry out special, bags under the eyes can be surgical fat removal. The above is just a simple way to distinguish, it is recommended to go to the hospital to listen to the doctor’s guidance.