Abstract: Objective: To investigate the effects of orbital fat preservation and reset in the repair of lower eyelid pouch. Methods: Thirty patients with lower eyelid pouches were treated with orbital fat preservation and reset. All cases were followed up for 6 to 36 months after operation. The sunken eyelid, eyelid-cheek complex contour and patient satisfaction were evaluated. Results: Treatment of 30 cases were satisfactory. No "unsatisfactory" evaluation, no sunken eyelid and full contour of eyelid-cheek complex were found. Conclusions: The effects of orbital fat preservation and reset in the younger repair of eyelid pouch are good, which is benefit to the repair of different types of eyelid-cheeked complex contour, and worthy of promotion.