There are actually two categories of bags under the eyes. One is related to genetics. Some children can see bags under the eyes at a very young age. This is related to their own development. Another factor is acquired factors, such as staying up late and other bad living habits for a long time, coupled with the gravity of the earth, the skin will loosen with age, including the bulging of fat caused by the relaxation of the orbital septum. This is A situation of acquired factors. You should pay attention to rest at ordinary times, reduce close-range operations, avoid visual fatigue, use your eyes correctly, do not stay up late, and eat lightly. Avoid spicy food and check your eyesight regularly. For this kind of acquired eye bags, fat-preserving lower eyelid plastic surgery should be used. There are two methods:

For those with mild aging, surgery can be performed to push the protruding fat back into the orbit and then reinforce the lower eyelid with sutures. Eye sockets.

If the tear trough is obvious and the cheeks are sunken under the orbits, it is appropriate to resurface the fat in the periorbital bag. This is done by incising the skin along the lower edge of the eyelashes of the lower eyelids, separating the fat, and covering part of the fat under the orbits. On the edge and tear trough, the connective tissue and orbital muscles are then suspended, excess muscles and skin are removed, and the wound is sutured.

Only in this way can the problems of eye bags, tear troughs and hollow orbits be improved. For patients with lax lateral canthal ligament, the lateral canthus must be fixed at the same time to prevent eyelid ectropion. If the cheeks are also aging and sagging at the same time, it is necessary to combine mid-face lift surgery with lower eyelid plastic surgery to achieve satisfactory results.

Plastic surgery for lower eyelids

Most healthy people can undergo plastic surgery to remove bags under the eyes. If you have a previous eye disease or have recently undergone laser surgery to correct myopia, you should tell your doctor. . Generally, it is not suitable to undergo plastic surgery to remove the lower eyelids within six months of laser eye correction surgery.

There are basically two types of lower eyelid plastic surgery:

1. Traditional lower eyelid plastic surgery

The surgical incision refers to the 2mm below the eyelashes of the cancerous eye. The position of the eyelids reaches the fat layer of the eye belly through the eyelids, muscles and orbital septum, and then the appropriate amount of eye belly fat is removed. The operation can also cut off the excess eyelids and tighten the lower eyelids at the same time, and then the wound is sutured. This surgery is suitable for patients with obvious eye bags and sagging eyelids who require skin removal.

For patients with congenital eye bags who do not need to remove skin, the surgical incision can be designed in the conjunctiva. Open the lower eyelids, use laser or electric knife to go through the conjunctiva directly to the fat in the belly of the eye, and remove the excess fat without suturing the incision.

(Contrast photos before and after transconjunctival eyebag removal)

2. Fat-preserving lower eyelid plastic surgery

For acquired eyebags and tear troughs For those who are not obvious, you can consider pushing the protruding eyebag fat back into the orbit and using the principle of repairing "small intestinal gas" to strengthen the inferior orbital septum.

For people with acquired eye bags and obvious tear troughs, fat removal will only make the eyelids more hollow and the tear troughs more obvious. In recent years, fat has been changed to retain the fat and fill the tear troughs and troughs with the protruding part of the eye bags. Cover the lower edge of the eye socket to create a better effect.

Lower eyelid plastic surgery is performed under local anesthesia and takes about one to three hours. There will be swelling and bruising around the eyes after the surgery. It is best for the patient to stay at home and rest for three to five days, and to apply cold compresses to the surgical site frequently. Avoid actions that can increase blood pressure, such as bending down, lifting heavy objects, and strenuous exercise. It is not appropriate to wear contact lenses within one week after surgery.

It takes five to seven days after surgery