What are bags under the eyes? Under-eye bags are a result of the lower lid skin and orbicularis muscle becoming lax and the orbital septum becoming less supportive, causing the orbital fat to displace and prolapse, resulting in varying degrees of bloating, bulging or sagging of the lower lid tissue, which is shaped like a bag. Eye bags are characterized by sagging, wrinkles and bloating of the lower lid skin, giving the impression of fatigue and old age. Lower eyelid bags are closely related to human aging and facial tissue aging, while some young people’s bags are related to family genetic factors. What are the subtypes of under-eye bags? Skin laxity type: eyelid skin is lax and forms wrinkles, without protruding orbital fat and orbicularis oculi hypertrophy. Fat prolapse: The fat in the orbital septum prolapses, causing an outward bulge or pouch-like protrusion in the lower lid. Chorioretinal hypertrophy: horizontal bulging below the lid margin. Mixed type: Combination of the above three types. Causes of puffiness: Pure orbicularis oculi hypertrophy type of puffiness: due to hereditary factors, the lower eyelid puffiness is present at a very young age, with the prominent feature of a continuous curved distribution near the lower lid margin and no skin laxity. The lower eyelid bags are usually seen in young adults aged 33 to 45 years old. Mild to moderate bulging of the lower eyelid is primarily the result of congenital overdevelopment of the orbital septum fat and is most often seen in people aged 23 to 36 years. Moderate to severe bulging of the lower lid is accompanied by laxity of the lower lid skin. This is mainly due to laxity of the skin, orbicularis oculi and orbital septum, resulting in prolapse of the orbital fat due to gravity, laxity of the external canthal ligament, ectropion of the lid, separation of the eyelid, and frequent tearing. Distinguish between under-eye bags and sleeping silkworms Some people have a bulge 4-7mm wide immediately below the eyelashes, which looks like a baby silkworm lying across the edge of the lower eyelid, and is more obvious when smiling or squinting. In fact, this is not a real eye bag, but a partial hypertrophy of the orbicularis oculi muscle, the professional name is “muscle eye bag”, folk call it “sleeping silkworms”. Beautiful eyes only long sleepy silkworms. The most likely to appear in the large eyes or eyes slightly protruding people, basically long with the sleeping silkworms will give people a sense of intimacy, perception and bags brought about by the haggard feeling is very different. Eye bags are generally triangular in shape, while the silkworm is oval; eye bags exist every moment, while the silkworm is obvious only when smiling; eye bags are mainly due to fat protrusion, if the bags are treated as the silkworm, there will be no results. Pre-operative precautions 1, the incision position design and the requirements of the candidate and the aesthetics of the physician and surgical results are closely related to the preoperative candidates should discuss carefully with the plastic surgeon to avoid disagreement after surgery due to different perceptions of the effect; 2, scar body candidates should not do, otherwise it will cause scar growth after surgery; 3, diabetes or bleeding disease patients should be cautious surgery, otherwise the wound is difficult to 4, half a month before the surgery is prohibited to take drugs that affect the blood mechanism; 5, such as conjunctivitis in both eyes should first treat the eye disease, after healing before doing the eye bag surgery; 6, facial paralysis caused by incomplete closure of the lid should not be done; 7, women should not do during menstruation, it is best to arrange the surgery in about 1 week after the menstruation; 8, psychological disorders or unrealistic requirements should not be done. Eye bag removal surgery method Eye bags will become more and more obvious with age, only through plastic surgery to remove the bulging fat in the orbital septum, in order to revert to the smooth lower eyelids. Currently, there are 3 major types of eye bag removal: external approach (through skin incision), internal approach (through conjunctival incision) and laser. The external approach External eyebag removal is an incision along the lower eyelash edge to the outer canthus to remove the bulging eyebag fat, while removing excess lower eyelid skin to remove wrinkles. This method is suitable to solve the problem of under-eye bags with skin laxity and orbital fat prolapse, and is especially suitable for removing moderate and severe bags. Advantages: the skin, orbicularis oculi, orbital septum and orbital fat can be treated simultaneously, and the postoperative results are reliable. Disadvantages: more bleeding during surgery, skin incision scar left after surgery. Internal method The internal method of eye bag removal is to make a small incision at the lid conjunctiva to remove excess fat. The surgery is less invasive, scarless and quick recovery. It is mainly suitable for people with simple orbital fat bulge and good elasticity of the lower lid skin, but not for people with moderate to severe eye bags where the skin, orbicularis muscle and orbital septum are obviously relaxed. Advantages: no skin incision, no visible scar after surgery, little tissue damage, less bleeding; no eyelid deformation, ectropion and fat rebound; surgery can be completed in only 20 to 30 minutes with little trauma and quick recovery; no complications such as lid ectropion, tear overflow, incomplete closure and lower lid recession. Disadvantages: Can’t deal with skin, orbicularis muscle and orbital septum at the same time, small scope of indications. Ultra Pulse Laser Eye Bag Removal Using the new high energy ultra pulse laser, an incision of about 3mm is made from the inner conjunctiva of the lid, then the inner, middle and outer 3 fat masses are exposed in turn from the incision, then the laser vaporizes and shrinks the dermal tissue and burns the fat of the eye bags. Antibiotic eye ointment is used for 5 days after the whole procedure is finished and goes home. Advantages: hemostasis at the same time of incision, without sutures, almost no bleeding during the whole procedure; super pulsed CO2 laser avoids the disadvantages of normal CO2 laser damaging the surrounding normal tissues, producing scabs and wounds not easy to heal; very few petechiae appear after surgery, with little impact on work and life. Disadvantages: if the operation or protection is not appropriate, it may cause strong light to stimulate the eyes; surgery requires a small opening in the eye, and then the laser for burning, pain is obvious, there is a strong burning smell; because the laser can not be bent, can only burn the surface, but can not reach the deep skin, and therefore can only change the large bags into small bags; easy recurrence, no wrinkle effect. Postoperative precautions 1, 2 to 3 days after surgery, the eye will have discomfort and slight local pain, this stage should pay attention to rest, try to avoid reading and watching TV, in order to facilitate the swelling and wound recovery; 2, after surgery, it is appropriate to take oral anti-inflammatory drugs for about 3 days, the wound to avoid moisture and touch to prevent infection, also available ice bags cold compress surgical area to reduce bleeding and prevent swelling; 3, avoid strenuous exercise, avoid hitting the wound 4.If the wound bleeds more than once, cracks, pain suddenly increases, etc., you should follow up with the hospital in time; 5.Eat more protein-rich foods and fruits and vegetables in the diet.