During the holiday season, after a long period of staying up late, many people have the trouble of eye bags. Eye bags are usually caused by sagging of the orbital septum of the lower eyelid and bulging of the orbital fat, usually accompanied by loose, sagging skin of the lower eyelid. Most people suffer from bags under the eyes along with tear troughs. “The “tear trough” is a concave groove that begins at the inner corner of the eye and appears on the side of the lower eyelid against the nose. This concave groove contrasts with the surrounding skin, making it look like there are dark circles or bags under the eyes. People with thin skin under the eyes often have more pronounced tear troughs than the average person. Common types of tear trough formation reasons 1, young type The main reason is that the tear trough ligament is too tough, or the ligament connection point is too deep, resulting in the skin by the ligament pulling caused by the depression; 2, bags under the eyes type of accumulation of fatty tissues under the eye bags, resulting in the bags under the eyes is too prominent, the visual illusion of shadows; 3, older type of zygomatic fat with the loss of collagen and the impact of gravity downward displacement, resulting in the location of the tear trough concave. Surgical options for removing under-eye bags 1, external incision to remove under-eye bags Surgical incision in the lower eyelid eyelash lower margin, after incision separation to remove excess fat in the orbital septum, and at the same time, remove loose skin, to reduce the local wrinkles. The incision is hidden, and it is difficult to see the traces of the incision after healing. 2.Internal incision to get rid of under-eye bags Make an incision in the conjunctival surface of the eye, and partially remove the intra-orbital fat, which is easy to operate, with little injury, insignificant swelling, no need of suture, and no trace of incision from the appearance of the eye, which is not easy to be noticed, and it is the more popular under-eye bag plastic surgery nowadays. 3.Orbital fat release Orbital fat release can improve the tear trough deformity, retaining the fat in the orbital septum and releasing it to fill in the tear trough, not only removing the bags under the eyes, but also smoothing the tear trough at the same time. So which surgical option is right for me? Incision: For people with various types of lower eyelid tissue aging accompanied by lower eyelid skin and muscle laxity, orbital fat prolapse, or orbicularis oris muscle hypertrophy. If there is a “tear trough”, orbital fat can be released at the same time. Internal incision: Suitable for young people without lower eyelid skin and muscle laxity, mainly with orbital fat protruding from the inner orbit. If there is a “tear trough”, orbital fat can be released at the same time. Can I get rid of more fat under the eyes? When getting rid of under-eye bags, some people may think that there is too much fat under the eyes and ask for more fat to be removed, but this is not possible. Because orbital fat has its normal physiological function, if you get rid of it too much, it will cause the lower eyelid to sink in, and you will look old instead. Will getting rid of eye bags affect the under-eye silkworms? The silkworms are actually the orbicularis oculi muscle below the eye socket. The internal incision method removes only the fat and will not affect the silkworms. External incision method to remove under-eye bags, need to remove part of the loose skin, subcutaneous fat and other tissues, will have an impact on the silkworms. Eye bag removal surgery should not be chosen blindly, but to choose the right method for you. In addition, the key detail of eye bag removal surgery is that the amount of fat and epidermis removed should be moderate; less will not achieve the desired effect, and more may cause problems such as eyelid ectropion. Therefore, when removing bags under the eyes, you also need to go to a regular and professional plastic surgery hospital. Choose a professional plastic surgeon with rich clinical experience and excellent technology to perform the surgery, and develop personalized eye bag removal programs for different situations in order to get the best post-operative results. The choice of surgery needs to be based on the candidate’s own situation, choose the appropriate is the best, according to their own situation need to use the appropriate method to carry out surgery, so that the surgical effect to achieve the best.