The incision of internal bag removal is the conjunctiva, which will not produce obvious scarring compared to external bag removal surgery, but there are still certain risks, common and more serious risks include the following: 1, infection: surgery with an incision, there is a risk of infection, you need to take oral antibiotics to prevent infection after surgery; 2, bleeding: is the most common complication, caused by incomplete hemostasis, which may cause orbital Internal bleeding, leading to vision loss; 3. Tear trough deepening: the surgeon’s operation is not fine enough, the amount of fat removal is too much or too little, which can lead to tear trough deepening or early recurrence of eye bags; 4. Lower lid ectropion: it is related to the amount of skin removed by the surgeon, due to the loose and sagging skin, a loose skin needs to be removed and then the incision is sutured. If too much skin is removed, it will lead to excessive skin tension, severe lower eyelid ectropion, and even incomplete eye closure; 5. scar proliferation contracture: people with scars are prone to this condition, and after the scar of the incision contracts, a scar may form on the conjunctival surface, causing lower lid recession and making the lower lid more exposed; 6. diplopia: the surgeon is not clear about the anatomical structure and may damage the lower oblique muscle, leading to Long-term diplopia. This complication is very rare, but it is very troublesome to deal with and requires a specialist to do a repair of the inferior oblique muscle in order to improve the symptoms of diplopia.