Objective To analyze the effect of modified Hamra blepharoplasty on ocular aesthetics in patients with eye bags with tear trough deformity. Methods A total of 70 patients with eye bags with tear trough deformity admitted to Weiyang Medical Beauty Clinic, Xi 'an Meihe Medical Beauty Co., Ltd.,Clinic from December 2022 to November 2023 were selected as the research subjects, and they were divided into the control group and the observation group by the random number table method, with 35 patients in each group. The control group was treated with traditional Hamra surgery, and the observation group was treated with modified Hamra blepharoplasty. The ocular aesthetics, clinical efficacy, satisfaction, quality of life and adverse reactions were compared between the two groups. Results The ocular aesthetics score of the observation group after treatment was higher than that of the control group (P<0.05). The total effective rate of treatment in the observation group (94.29%) was higher than that in the control group (77.14%) (P<0.05). The treatment satisfaction of the observation group (97.14%) was higher than that of the control group (80.00%) (P<0.05). The scores of cognitive function, role function, physical function and social function in the observation group after treatment were higher than those in the control group (P<0.05). The incidence of adverse reactions in the observation group (2.86%) was lower than that in the control group (17.14%) (P<0.05). Conclusion Modified Hamra blepharoplasty has an ideal clinical effect in the treatment of patients with eye bags with tear trough deformity. It can improve ocular aesthetics and quality of life, and reduce adverse reactions, thus effectively enhancing patient satisfaction. It is worthy of clinical application.