Abstract:Objective To explore the effect of four-step eye bag plastic surgery in elderly patients with eye plastic surgery. Methods From February 2023 to February 2024, 90 elderly patients who underwent eye plastic surgery in the Department of Aesthetic Surgery of Tianyuan Outpatient Department of Zhuzhou Esther Plastic Medical Cosmetic Co., Ltd. were selected as the research objects. They were divided into reference group and observation group by random number table method, with 45 patients in each group. The reference group was given lower eyelid skin approach eye bag plastic surgery, and the observation group was given four-step eye bag plastic surgery. The clinical efficacy, aesthetics, plastic satisfaction and complications were compared between the two groups. Results The total effective rate of treatment in the observation group was 97.78%, which was higher than 80.00% in the reference group (P <0.05). The VSS score of the observation group was lower than that of the reference group at 1 and 3 months after operation (P <0.05). The plastic satisfaction of the observation group was 97.78%, which was higher than 77.78% of the reference group (P <0.05). The incidence of complications in the observation group was 2.22%, which was lower than 17.78% in the reference group (P <0.05). Conclusion Four-step eye bag plastic surgery is effective in eye plastic surgery for elderly patients, which can effectively remove the eye plastic. It has good postoperative aesthetics, high plastic satisfaction, and low incidence of postoperative complications. It is worthy of clinical application.