Do you have a pair of sad bags under your eyes in front of the screen?S sister wants to interview her baby-faced friends around her. What is it like to be called a sister by a lovely little boy and girl ..pictureBut one day a friend sent me a message asking me: "S, my bags under my eyes are bigger than my eyes when I laugh. What should I do?"I stared for a long time, but I didn't want to tell her that she thought her lovely and charming lying silkworm was the reality of pouch. ...Sister S just wants to ask you, do you know the difference between lying silkworms and pouch?pictureBags under the eyes are edema of the lower eyelid. Because the skin of eyelid is thin and the subcutaneous tissue is thin and loose, edema easily occurs, resulting in bags under the eyes.There are many factors in the formation of pouch, among which heredity is an important factor, and it becomes more and more obvious with the increase of age.The lying silkworm is a zonal oval bulge about four to seven millimeters close to the lower edge of eyelashes, which looks like a baby silkworm lying on the edge of the lower eyelashes.pictureFrom the outside, it is obvious that lying silkworms are laughing, but it is obvious that the bags under the eyes are expressionless. Lying silkworms make people look particularly cute, and bags under the eyes ... will only look old!Common types of pouchFirst, edema type pouch pouch.A transient pouch. It is because drinking plenty of water before going to bed at night leads to puffiness of eyelids when getting up the next day, commonly known as bubble eyes, which is falseSecond, fat bags under the eyesThis kind of pouch is caused by the accumulation and swelling of orbital septum fat, which is mainly caused by congenital or hereditary overdevelopment of orbital septum fat.Third, loose bags under the eyesThis type of pouch is related to aging. The pouch is formed because of the premature aging of fascia around the eyes, which causes the eyeball to relax and droop, and causes the fat under the eyeball to protrude, which makes people feel listless and old.Fourth, tear groove bags under the eyesIt is the pouch gradually formed due to the sagging of fat layer and relaxation of muscle layer.V. Mixed bags under the eyesThis kind of pouch not only has the problem of orbital fat bulging pouch, but also has the flabby skin of lower eyelid.Treatment of pouchAt present, pouch is divided into three types: "light, medium and heavy", and its treatment methods are also different. Mild pouch is the simplest treatment, and some do not need surgery.However, the more serious the eye bags are treated, the greater the "action" is, and even surgical treatment is needed.However, no matter what kind of bags under the eyes, the sooner the skin is treated, the better the skin elasticity and recovery will be.(1) injection filling methodSuitable type: mild pouchPeople tend to pay too much attention to pouch, while ignoring the existence of tear groove. Therefore, even after pouch is removed, the sunken tear groove will leave the feeling of being old and absent without treatment.For people with mild pouch, the pouch becomes inconspicuous after filling the tear groove, so it doesn't need to be removed with great effort.pictureFor mild pouch, filling method is usually used to fill the tear groove, which is simple and convenient, especially suitable for people who are afraid of surgery.If you fill the inner cheek, which is commonly known as the risorius area, it will also enhance the comprehensive effect of the middle face and the decree pattern. The filling method is best to use hyaluronic acid or autologous fat.(2) Internal incision methodSuitable type: light and moderate pouchMild and moderate bags under the eyes often have no obvious skin relaxation, which can be removed by internal incision surgery. It is mainly suitable for patients with orbital fat protrusion without obvious skin relaxation, that is, typical bags under the eyes caused by fat swelling.pictureThe surgical incision is made from the conjunctival surface inside the eye. After separating the conjunctiva, the swollen fat can be seen, which does not involve skin and muscle. Therefore, the wound is small, there is no incision or scar on the skin surface, and the postoperative recovery is quick and the effect is good.(3) External incision methodSuitable type: severe pouchExternal incision is suitable for bags under the eyes with flabby eyelid skin and orbicularis oculi muscle, so it is necessary to remove flabby orbicularis oculi muscle and lower eyelid skin in addition to removing redundant orbital septum fat.pictureThe skin was cut at a distance of 2-3 mm from the eyelash margin of the lower eyelid, and the loose skin and muscles of the lower eyelid were tightened and lifted while removing the pouch.In addition to removing fat, the fat causing pouch should be "shifted" to the lacrimal groove for fixation and filling the depressed lacrimal groove area.Common misunderstandings of removing bags under the eyesA, I am young, there will be no pouch?The causes of pouch formation are complex, and genetic factors, physiological reasons and living habits may all form pouch. As long as the skin around the eyes can't hold the accumulated fat and bulge outward, the bags under the eyes will come into being.Generally, people above middle age are more obvious, but now, due to work pressure, staying up late for a long time, emotional fluctuations and other reasons, many young people also began to appear pouch, even obvious.pictureSome school-age children also have pouch due to genetic factors, which has nothing to do with age.Second, there is a piece of meat under my eyes when I smile. Is it pouch?Some young people, when they smile, will swell up a muscle at the lower eyelid margin, so they consult it as an eye bag, and even strongly demand it removed.In fact, this is an obvious misunderstanding. This bulge is obvious to the muscles, that is, the lying silkworm, which is close to the lower edge of eyelashes, and it is the expression of charming and handsome eyes.The biggest difference between lying silkworms and pouch is that lying silkworms only become obvious when people laugh, but pouch is 24 hours a day. Whether you laugh or cry or have no facial expression, it will be firmly hung on your face. Therefore, do not equate pouch with lying silkworms.Third, remove pouch surgery once can be permanent?Many people hope that after one operation, they will never have pouch again, which is not scientific.First of all, our body is aging and relaxing, and our eyes are aging.Some people are emotionally stable, and their bodies have not changed much. They may not have bags under their eyes for many years.But for brokenhearted, sudden misfortune, or weak body, there will soon be signs of eye aging, and bags under the eyes may reappear.After pouch surgery, you should keep a happy mood, have goals and tension in your life and work, have a harmonious relationship between husband and wife, do not bother yourself, or sulk, be compassionate and do things kindly, which will really make your eyes calm and kind, and your pouch will not grow.

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