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2025.09.04

The Fastest Way to Rejuvenation — Eye Bag Surgery

Ms. Liu, 35 years old, started having dark circles under her eyes back in high school. After entering the workforce, colleagues often expressed concern, saying things like, “Did you stay up late last night? You look tired—are you overworked?”
Despite getting enough sleep every day, she noticed puffiness and bulging under her eyes along with tear troughs when looking in the mirror. Even makeup couldn’t fully cover them. That’s when she realized—could this be eye bags? Gradually and quietly, eye bags had appeared and become more noticeable over time.

What Are Eye Bags?

Everyone has fat tissue inside the eye socket. When we are young, this fat is firmly held in place by the orbital septum. However, as we age, the orbital septum gradually becomes thinner and looser, while the surrounding orbicularis oculi muscle and skin lose elasticity. This allows the orbital fat to protrude outward, forming eye bags.
At the same time, the area beneath the eye near the nose is anchored by fascia connected to the periosteum, making it relatively sunken—this depression is known as the tear trough.

Eye Bags Are Different from Aegyo-sal!

In the 19th century, neurologists confirmed that smiling is controlled by two groups of muscles. One is the zygomaticus major muscle, which lifts the corners of the mouth. The other is the orbicularis oculi muscle, which elevates the cheeks near the nose and creates slight fullness around the eyes, conveying a sense of happiness. This subtle bulge created by the orbicularis oculi muscle is known as aegyo-sal.
People with prominent aegyo-sal are said to have “smiling eyes,” making their joyful expression even more engaging.

What Should I Do If I Have Dark Circles?

The most common cause of dark circles is excessive eye bag fat pushing forward and compressing the blood vessels in front of the eye bags, which slows blood circulation. Since the skin under the eyes is very thin, the color of the veins becomes more visible. In such cases, eye bag surgery can effectively improve the appearance of dark circles.

Reclaim Your Youth — Eye Bag Surgery

Aegyo-sal consists of muscle, while eye bags are made of fat. If too much fat is removed during eye bag surgery, it can result in hollowing under the eyes, giving a tired or unhappy appearance.
The ideal eye bag surgery removes only an appropriate amount of fat. Excess fat is often repositioned and fixed into the tear trough area through a fat repositioning technique, which simultaneously improves tear trough deformities and restores a smooth, elastic lower eyelid.
If combined with proper midface lifting, the results can be even better, creating a more youthful and radiant appearance. Finally, reconstructing the loosened orbital septum can significantly reduce the risk of eye bag recurrence.

In addition to age and genetics, maintaining a regular lifestyle, avoiding staying up late, getting sufficient sleep, and keeping a positive mood can all help slow the formation of eye bags. We hope you too can rediscover your bright, youthful eyes!

Related Article: https://news.ltn.com.tw/news/life/paper/1125956

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