Bags under the eyes refer to the swelling of the lower eyelid tissue and drooping like a bag. Under normal circumstances, the amount of fat in the frame is in balance with the supporting structure of the lower eyelid. When this balance is changed due to the excessive accumulation of fat in the orbit or the weakening of the supporting structure of the lower eyelid, the fat in the orbit breaks through the limitation of the lower eyelid and protrudes out of the orbit, which forms the sagging deformity of the lower eyelid. The clinical manifestations are as follows: the skin of the lower eyelid is loose and piled up, the fat in the orbit is baggy, the position of the outer canthus moves down, the lower eyelid margin is not tightly attached to the eyeball, the curvature of the lower eyelid margin increases, the lower lacrimal point moves outward, tears overflow, and the aging and absorption of facial bones lead to the secondary relaxation of the lower eyelid supporting structure, which is the main reason for the formation of pouch in middle-aged and elderly people.
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