Can Laser Resurfacing Make Under Eye Bags Worse?

Laser resurfacing has minimal impact on lower eyelid bags. It does tighten the skin slightly, but not enough to remove the bag. In order for the bag to be removed, a laser assisted lower blepharoplasty needs to be performed. Laser resurfacing makes the skin overlying the fat appear less wrinkly, sun-damaged and more youthful. It should not worsen the appearance of the bag. I hope you find this useful. Good luck.

Laser resurfacing comes in different forms for the under eye skin but it should not make under eye bags appear worse. It is great for softening fine lines and wrinkles but does nothing to change the appearance of true under eye bags which are pockets of fat behind multiple tissue layers.  
I have had patients come to my office stating they were told laser would make the bags better but I believe this is misleading. It will make the skin appear smoother which will enhance the overall appearance of the under eye area (in most patients, there are certainly exceptions) but again, it won't have any significant effect on the prominence of under eye bags. 
To address under eye bags, one will need surgery to remove and/or reposition the fat, or filler injections to address areas of volume loss and hollowing to camouflage the fat.
I usually perform a surgical blepharoplasty or filler injections in conjunction with laser resurfacing to fully rejuvenate the under eye area.  Good luck!

Laser resurfacing generally does not make under eye bags worse. If anything, laser resurfacing will offer some degree of tightening of the skin, which should improve the appearance of the lower eyelid area. If significant improvements are made with laser treatments of lower eyelid wrinkles, it is possible that eye bags might become more noticeable simply because the other surrounding issues have improved.I usually find that a combination of treatments customized for each patient works best to improve this area (laser, filler, surgery, topical treatments, etc).All the best,