Eye bags are puffiness of the lower eyelid, due to the thin skin of the eyelid, the laxity of the subcutaneous tissue, muscles and orbital septum, and the enlargement of the retro-orbital fat. It is easy for “edema” to occur, forming a pouch-like protrusion, thus creating bags under the eyes. The formation of bags under the eyes has many factors, genetics is an important factor, and it becomes more and more obvious as we age. Some people think that their bags are not too obvious, and always want to wait until they are bigger before removing them, this concept is wrong, and the result will be to pay a heavy price for premature sagging of the lower eyelid skin. Eye table (sleeping silkworms): In some people, some people will have a bulge about 4-7mm wide at the lower edge of the eyelashes, which looks like a baby silkworm lying across the edge of the lower eyelid, more obvious when smiling or squinting, which is often treated as an eye bag. In fact, this is not an eye bag, but a localized hypertrophy of the orbicularis oculi muscle, professionally called “muscle eye bag”, which is generally called “sleeping silkworms”. Under-eye charming surgery is to make the eye contour more in line with the temperament of the individual, making the eyes more lovely and charming eye bags 1, simple orbicularis oculi hypertrophy eye bags due to hereditary factors, the lower eyelid bags at a young age. Its prominent feature is close to the lower lid margin, arc-shaped continuous distribution, the skin is not sagging, mostly seen in young people aged 20 to 32. 2.Simple skin laxity type In this case, the skin of the lower lid and canthus is lax, but there is no orbital septum laxity, so there is no orbital fat protrusion, and small wrinkles appear around the eyes, mostly seen in middle-aged people aged 33 to 45. 3. Mild to moderate bulging of the lower eyelid is mainly due to congenital overdevelopment of the orbital septum fat, mostly seen in middle-aged and young adults between the ages of 23 and 36. 4, moderate to severe lower eyelid bulge, accompanied by skin laxity of the lower eyelid, mainly skin, orbicularis muscle and orbital septum laxity, resulting in septal fat prolapse due to gravity, severe canthal ligament laxity, lid plate ectropion, lid ball separation, and often tearing, mostly seen in middle-aged and elderly people aged 45 to 68 years. Pre-operative considerations for eye bags (1) Design of surgical incision. It is directly related to the surgical result. The incision position design is closely related to the patient’s requirements and the aesthetics of the physician, so the patient should have a serious discussion with the plastic surgeon before surgery to avoid disagreement after surgery due to different perceptions of the effect. (2) Patients with scar body should not do this kind of surgery, otherwise it will cause scar proliferation after surgery and destroy the effect of cosmetology. (3) If the face has infections, such as folliculitis, acne, etc., the facial skin disease should be cured before considering facial cosmetic surgery. (4) If you have conjunctivitis in both eyes, you should treat the eye disease first, and then do the eye bag surgery after it is cured. (5) Women are best not to do surgery during menstruation, because of more bleeding during surgery and long local swelling after surgery and heavy reaction, affecting the surgical effect, so it is best to arrange the surgery in 3 to 4 days after the menstruation clean. Removal of eye bags post-operative care 1, although the eyesight is not affected in any way after eye bag removal surgery, but too much eye use is not conducive to swelling, so it is recommended to reduce eye activities after surgery. Proper rest is needed to avoid too much strain. Come to the hospital on the second day after surgery to remove the gauze to observe the healing of the incision, avoid rubbing hard in the eye, and avoid or reduce spicy diet during the post-operative recovery period. 2, 48 hours after surgery ice can help reduce swelling, pain, once about 15-20 minutes, the longest can not exceed 20 minutes, ice need to rest for an hour after the ice, and only after the ice again. Avoid getting water on the wound and surrounding area until the stitches are removed, and apply ointment normally. Keep the wound clean, do not touch the wound with your hands, one week after surgery to remove the stitches, the recovery period takes two weeks. 3, after the surgery to remove eye bags, you should pay attention to rest, as little as possible to read books, computers, television, which is conducive to swelling; follow medical advice to take anti-inflammatory drugs; available ice pack cold compress surgical area to reduce bleeding and prevent swelling. Generally, if there is bleeding, it is not easy for individuals to notice, so when you feel the symptoms such as increased swelling, you should follow the doctor’s instructions and seek medical treatment in time. Ultrasound to remove eye bags Different human tissues have different inherent frequencies, fat tissue also has a fixed resonant frequency of ultrasound, special wavelength of ultrasound has a “cavitation effect”, when the ultrasound instrument emits the same frequency as the frequency of eye bags fat. When the frequency of the ultrasonic instrument is the same as the frequency of the fat under the eye bags, the fat cells will undergo a resonance reaction, and this resonance reaction will be able to completely emulsify the fat under the eye bags and change it from a solid state to a liquid state, while the surrounding normal tissues will not be damaged. Eyebag surgery repair requires redesigning the eyelid to repair the defective part of the eyelid and make the line smooth. If the eye socket is missing, the eye socket should be reshaped. Second, fat rebound Most of the reasons for fat rebound are due to the fat removal is not clean enough, the remaining fat through the absorption of water, the volume becomes larger again to restore the situation before the eye bag surgery, for this case eye bag surgery failure repair can take the normal re-operation to remove the remaining fat clean. Third, the effect of surgery is not obvious Remove the excess skin through surgery again, but if the applicant’s own skin elasticity is not good and the nature of wrinkles is fiber fracture lines, you should be cautious to do eye bag removal failure repair surgery, because the post-operative effect will still not be good. Fourth, lower eyelid skin depression If the fat is removed excessively or the sutures in the orbital septum are too tight, the surgery must be performed again to separate the skin depression area and its surrounding along the original incision, and repair the depression with the surrounding orbicularis muscle and subcutaneous tissue. Lower lid ectropion is a common complication after eyebag surgery. It is manifested in the lower lid conjunctiva turning outward, congestion, edema, and eye irritation symptoms such as photophobia, tearing, etc. In longer cases, the conjunctiva is hypertrophied. Treatment: In mild cases, local massage can be used to induce the lower lid skin to relax, which usually recovers or improves in a few months. In severe cases, a lateral V-shaped skin excision suture can be made; or the orbicularis muscle flap can be lifted and fixed toward the superior orbital rim; or the upper lid rotation flap, nasal flap, or temporal flap can be used to correct the ectropion. In severe cases, free skin grafting is required.