At present, there are two main ways to do pouch surgery. One is external cutting, that is, cutting from the skin under the eyelashes 1-2mm to remove excess fat, muscle and skin. This method can not only remove bags under the eyes, but also tighten loose skin and muscles. For patients with obvious lacrimal passage, orbital septum release and lacrimal passage filling can be done. In addition, we can also mention the central part of Lamian Noodles from this incision, which is mainly suitable for elderly patients with flabby skin and muscles. Another method is to cut inward, make a small incision from the conjunctiva of eyelid, and remove excess fat through the small incision. This method has no scar on the skin surface, so it is also called seamless pouch removal. However, this method can not remove loose skin, and is mainly suitable for younger patients with tight skin and only fat prolapse.
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