80 year olds can have bags under their eyes removed surgically by removing loose eye skin, or by laser or lipolysis, but because patients are older, plastic surgery is generally not recommended if there is no significant eye discomfort. 80 year olds can have bags under their eyes removed surgically. Surgery to remove bags under the eyes can be categorized into internal and external incision methods. Internal incision is performed to remove bags under the eyes by removing excess fat without removing the skin of the lower eyelid. The external incision method requires the removal of lower eyelid skin and is therefore more suitable for older people. There are also laser and lipolysis methods to remove under-eye bags. Laser under-eye bag removal uses the thermal and optical effects of laser to shrink dermal tissues, and is suitable for people with mild under-eye bags who do not have significant skin laxity, while lipolysis under-eye bag removal is to dissolve the excess fat in the under-eye bags by making it thermally effective to achieve the purpose of removing the under-eye bags. However, elderly people are older, and removing under-eye bags through surgery or physical means will result in a longer recovery time, and they are also prone to postoperative complications. Therefore, if there is no obvious discomfort, it is not recommended for the elderly to remove eye bags through plastic surgery.