Bags under the eyes mainly refer to fat swelling of the orbital septum under the lower eyelid or skin relaxation and wrinkles in different degrees. Some people have congenital factors, most of which are signs of aging face. According to the causes and mechanisms of pouch formation, pouch can be divided into four types:

1.

Lower eyelid skin flabby type: mainly manifested as lower eyelid skin flabby and wrinkled, orbital septum fat is not prominent, and sometimes atrophy is slightly concave.

2.

Fat lower eyelid orbicularis muscle (pseudopouch): It is caused by hypertrophy of lower eyelid orbicularis muscle, which is mostly related to family inheritance.

3.

Orbital septal fat protrusion: caused by orbital septal swelling, it is a typical pouch. No skin laxity and wrinkles in the lower eyelid.

4.

Mixed type: it is a mixed type of 1, 3, mainly characterized by orbital septum fat swelling, accompanied by different degrees of lower eyelid skin relaxation and skin wrinkles.

According to different surgical methods, plastic surgery for bags under eyes can be divided into two types, and each method is suitable for different types of bags under eyes.

1.

Traditional standard blepharoplasty. During the operation, an incision was made along the lower margin of lower eyelid eyelashes to the outer canthus groove, and the swollen fat under the eyes was removed after separating the incision. At the same time, tighten the skin of the lower eyelid, remove the excess skin of the lower eyelid and remove the wrinkles of the 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 1.2.4 eye bags.

2.

Internal incision blepharoplasty: Liposuction is a popular blepharoplasty in recent years. The fat under the blepharoplasty is removed 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 3 bags under the eyes.

Postoperative precautions: postoperative congestion and edema are common. Local cold compress two days after operation and hot compress on the third day can reduce the degree of congestion and edema and help edema subside. After external incision blepharoplasty, due to the relaxation of orbicularis oculi muscle and loss of normal tension, slight eversion occurred in a short time after operation, and generally returned to normal in 2~3 months after operation.