1. Repair of pouch with small tears ectropion: The treatment of this kind of pouch repair: use antibacterial eye drops to prevent conjunctival inflammation in mild ectropion, and massage the inner canthus of eyelid after the swelling is reduced. If there is still no improvement after conservative treatment, Z-plasty of inner canthus or local skin grafting or skin flap correction is needed.
2. Repair of lower eyelid ectropion pouch: The treatment method of this kind of pouch repair: For mild cases, local massage or local injection of glucocorticoid can be used to promote the release of lower eyelid skin, which can be recovered or improved in a few months. In severe cases, the lateral V-shaped skin can be removed and sutured. Or lift the orbicularis oculi muscle flap outward and fix it to the upper orbital margin; Or use the upper eyelid rotating flap, nasal flap and temporal flap to correct ectropion. Serious bags under the eyes need free skin grafting.
3. Eyebag repair for skin depression of lower eyelid: The treatment method of this kind of eye bag repair: If the fat removal is excessive or the orbital septum suture is too tight, it must be operated again, cut along the original incision, separate the skin depression area from its surroundings, and repair the depression with the surrounding orbicularis oculi muscle and subcutaneous tissue. If the suture of the orbital septum is too tight, it must be cut open to release it.
Surgical methods for removing bags under eyes:
1, and perform eye surgery according to the specific conditions of the lower eyelid of the eye without damaging the original eye tissue;
2. Strengthen medial canthus ligament and lateral canthus ligament, and properly fix zygomatic fat pad as needed;
3. Make up for excess tissue by soft tissue filling or fat filling.