Internal incision eye bag removal is deeply liked by the majority of patients because of the relatively less painful surgery and quick recovery. However, in the face of many patients, not everyone is suitable for internal eye bag surgery, why do you say so? Let’s look at the typing of under-eye bags first. About eye bags typing: clinically, eye bags are usually divided into four types: 1, skin laxity: mostly middle-aged and elderly patients 2, orbicularis oculi hypertrophy: mostly young patients 3, fat bulge type: young patients, good skin elasticity 4, fat bulge bloated sagging type: elderly patients, poor skin elasticity, sagging orbital septum structure Among them, type 1, 3, 4 usually need external incision surgery to reshape the orbital septum structure, only type 2 The fat bulge type and the relatively mild skin laxity type of type 1 can be treated by direct removal of the septal fat. Therefore, basically, only young people and a small percentage of middle-aged people with less skin laxity are suitable for internal eye bag surgery. The difference between the two lies in the different ways of lid conjunctival incision, the electric knife surgery is to cut with a traditional scalpel and then remove the herniated fat, while laser excision is to use laser throughout the whole process, the conjunctiva is handled differently, the former needs to stop bleeding after incision, improper treatment may lead to hematoma after surgery, the latter may be caused by laser heat conduction swelling of the eyelid. The author prefers electrodebrider excision because there is no hyperthermic damage to the lid conjunctival incision. Although it may take some time to stop the bleeding during the operation, it is definitely advantageous in terms of the patient’s recovery after the operation, and the patient can perform daily activities within a few hours after the operation without swelling and almost no impact on daily life. Regarding the recovery period of the inner eye bag incision: it is usually 7-10 days after surgery, which refers to the complete healing of the wound. If there are no complications such as hematoma after surgery, you can usually do normal activities in a few hours after surgery. I once had a patient who went to watch movies with friends immediately after surgery and felt good. It was basically not noticeable to the people around. Precautions about inner eye bag surgery: 1. The surgical method needs to be determined after an interview with the doctor, you can put forward your requirements, but it is better to follow the doctor’s advice and trust your doctor, he will propose the most suitable solution for you. Your request will be considered carefully if it is in line with the principles. 2. You cannot have surgery during your menstrual period and need to avoid it. 3.The post-operative recovery period is 7-10 days, you can wash your face during this period, but you can’t rub the eye bags position. 4.It is best to apply ice for 10-15 minutes after surgery. 5.It is best to observe 30 minutes in the hospital after surgery to make sure there is no eye swelling, bruising, etc. before leaving, so that problems can be found and dealt with in time. 6, about a week after surgery may have a small amount of light bloody tears out of the eyes, do not worry, there is no problem. 7, a few hours after surgery eyes may have a little gritty feeling, more prone to tears, this is also normal, do not worry.