Shangmei experts pointed out that in terms of incision selection, pouch removal surgery can be divided into internal approach and external approach. The internal approach is suitable for young people with simple orbital fat displacement or bulging without skin relaxation. Because it can't tighten the lower eyelid orbital septum and get rid of redundant loose skin. The most widely used method is the external approach. During the operation, the incision is 1.5~2.mm away from the lowest row of eyelashes at the lower eyelid margin, and a linear incision is made on the outer skin of the lower eyelid along the eyelid margin. The orbital septum is opened layer by layer to remove the fat, and the redundant orbicularis oculi muscle and the lower eyelid skin can be removed as appropriate.