There are many differences between internal and external eye bag removal, mainly due to different surgical methods, different groups of patients, and different recovery times. 1. Different surgical methods: the internal incision of under-eye bags removes excess orbital septum skin from the internal way, and the overall trauma is relatively small; the external incision of under-eye bags cuts the skin around the eyelashes of the lower eyelid, and then removes part of the orbicularis oris muscle and orbital septum fat, and the overall trauma is relatively large. 2. Different surgical use of the crowd: bags under the eyes is more suitable for good skin elasticity, skin laxity of the young people; bags under the eyes is more suitable for the older, in addition to bags under the eyes accompanied by skin laxity of the crowd around the eyes. 3. Surgical recovery time is different: the recovery time of under-eye bag cutting is shorter, and the postoperative swelling is slight, or even no swelling; under-eye bag cutting is more traumatic, so the later recovery time is also longer. There are a lot of differences between internal and external eye bag removal, and the patient can choose the appropriate surgical method according to the personal situation, and it is recommended to consult a doctor in time and follow the doctor’s instructions to develop a surgical program.