ⅰ. Lower eyelid skin laxity type: The main manifestations are lower eyelid skin laxity, wrinkles, unobtrusive orbital septum fat, sometimes atrophy and slight depression.
ⅱ. Musculus orbicularis lower eyelid hypertrophy (pseudopouch): It is caused by the hypertrophy of Musculus orbicularis lower eyelid, which is mostly related to family inheritance.
Ⅲ. Orbital septal fat protrusion: It is caused by orbital septal bulge and is a typical pouch. No skin laxity and wrinkles in the lower eyelid.
Ⅳ. Mixed type: It is a mixed manifestation of type I and type III, mainly characterized by orbital septum fat swelling, accompanied by different degrees of lower eyelid skin relaxation and skin wrinkles.
According to the different surgical methods, plastic surgery for bags under eyes can be divided into two types, which are suitable for different types of bags under eyes.
Ⅰ. Traditional standard blepharoplasty. During the operation, an incision was made along the lower margin of lower eyelid eyelashes to the outer canthus groove to remove the swollen fat under the eyes. At the same time, tighten and remove excess lower eyelid skin and remove wrinkles of lower eyelid skin. The incision is hidden in this method, and it is difficult to see the incision marks after 1 ~ 2 months. This method is mainly suitable for type I, II and IV bags under the eyes.
ⅱ. Internal incision blepharoplasty: In recent years, liposuction, which is popular for blepharoplasty, removes the fat in the blepharoplasty through a small incision in the conjunctival sac of the lower eyelid, so there is no incision mark on the skin surface. Very popular with patients. This method is mainly suitable for type ⅲ bags under the eyes. This operation is also feasible for laser resection, minimally invasive and without bleeding.
Postoperative congestion and edema around the eyes are common.
Two days after operation, local cold compress was applied,
Changing to hot compress after the third day can reduce the degree of congestion and edema and help the edema subside.