Of the lasers you listed, Fraxel re:pair is the most aggressive.

Bryan K. Chen, MD answers: Which laser is best for wrinkles and sun damage - Fraxel Re:pair, Fraxel Re:store or Pixel laser?

I am a 44 year old female with a lot of sun damage and wrinkles around my eyes (crowsfeet and under eye wrinkles). Which laser procedure is best, or should I just get an upper and lower eye job??


Bryan K. Chen, MD
10 months ago

The Fraxel re:pair is the most ablative and requires the most down-time, about 1 week.  It has, however, the potential to give you the most dramatic improvement in the eyelid wrinkles.

Blepharoplasty can remove excess fat tissue of the upper and lower eyelids whereas the lasers cannot.  Removal of too much fat in the upper or lower eyelids, however, can create a "hollow," gaunt appearance.  On the other hand, the lasers will improve skin texture whereas blepharoplasty does not.  It may be worthwhile to consult with a couple of practitioners who do both to help guide your decision.

Good luck.

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