Blepharoplasty or Fraxel Laser for Wrinkled Under Eyes?

Fraxel is a great resurfacing laser that can improve the texture, pigment and quality of your skin BUT it can only improve "so much" with respect to excess skin and fat. Eyelid surgery can much more easily remove larger quantities of excess skin, and also remove excess fat around the eye that the laser can't improve, but it will not change the quality of the skin. Thus, these treatments improve different aspects of aging, and you should see a physician who offers both... more

Usually, the wrinkled skin of the eyelid does respond better to laser resurfacing than skin removal with blepharoplasty. Fraxel re:pair is a one session treatment but Fraxel re:store is a series of treatments usually done a few weeks apart. The re:pair may take more than one week to heal. It may take up to two weeks and there is a very small chance of scarring to form. I am not aware that it will reduce Juvederm overfill as it doesn’t penetrate the depth into which

Actually, the two techniques can compliment each other, giving better results when combined. The fractional resurfacing (various brands including Fraxel) can improve the surface texture, tone and even pigmentation around the eyes. Down-time depends on the operator. Remember to insist on metal eye shields when having treatments very near the eye. It can't treat the puffiness under or above the eyes. It can't reliably treat Juvaderm over-filling, but enzyme injections can decrease this well... more