睑袋皮肤经路整复手术留下的细浅瘢痕对于原本下睑皮肤松弛，布满皱纹的老年人应是无可非议，然而，对于皮肤弹性尚好、无明显皱纹的青中年人，却不免遗憾。作者自从１９９１年以来，采用保持下睑皮肤和眼轮匝肌的完整性，作结膜囊入路切开，经结膜下组织和眶隔，直接切除眶隔脂肪球的方法，对２５２例中青年人下睑袋进行了整复手术。并对２０４例作１～４年的随访观察，其中２０２例获得了满意的临床效果。作者还对本组２５２例中３０岁以下的１６８例下睑袋青年人作病因调查。本术式不仅无皮肤经路切口所引起的显露性瘢痕，而且具有损伤小，出血少，手术时间短，痛苦小，恢复快的优点；无睑外翻，睑球脱离，眼裂闭合不全和溢泪等并发症，值得推广。本术式适用于中青年人下睑袋，不伴有皮肤松弛或仅有浅皱纹者，以及不伴有眼轮匝肌肥厚或松弛者 Eyelid pocket pathological repair of the skin left by the shallow scar surgery for the original lower eyelid skin loose, full of wrinkles in the elderly should be beyond reproach, however, for the skin elasticity is good, no obvious wrinkles in young middle-aged, but can not help but regret . Since 1991, the author adopted to maintain the integrity of the lower eyelid skin and orbicularis oculi, for conjunctival sac approach incision, subconjunctival tissue and orbital septum, direct orbital septum fat globule method, 252 cases of young People under the lower eyelid bag for plastic surgery. 204 patients were followed up for 1 to 4 years, of which 202 patients achieved satisfactory clinical results. The author also 252 cases of this group of under the age of 30 168 cases of lower eyelid pockets of young people for etiological investigation. This procedure not only has no skin incision caused by scar incision, but also with less damage, less bleeding, shorter operative time, less pain, fast recovery advantages; no eyelid valgus, blepharophthalmos detachment, Overflow tears and other complications, it is worth promoting. This technique is suitable for young people in the lower eyelid pocket, not accompanied by skin loose or only shallow wrinkles who are not associated with orbicularis or hypertrophy