Laser eyelid surgery for puffy eyes?

 There are three fat compartments in the lower lids, which make the eyelids look puffy and swollen. This is made worse from allergies and fluid retention. Make sure those are under good control prior to embarking on a lower blepharoplasty. Lower blepharoplasty addresses removal of the portion of the... more

 If puffy eyes are due to fat herniation, then a blepharoplasty would be reasonable.  If you have puffy eyes due to edema then very little if anything can be done to improve it.

Lasers are good to treat the wrinkles underneath the eyes, not necessarily excess skin.  You may want to consider getting blepharoplasties as this will help with the excess skin and any "herniated" fat underneath the eyes to improve their appearance.  This can be done as an outpatient and... more

Dear Puffy Eyes It definitely sounds like you may have an issue. Dr. Gear is correct that what you are describing may be blepharochalasis, an intermittent inflammatory process that takes its toll on the eyelid skin. However, there are other potential issues. So the best option is to be assessed by an... more

If you experience this puffiness in the upper lids in particular, then you might have what is known as Blepharochalasis.  This is an idiopathic, inflammation of the eyelid that is characterized by exacerbations and remissions of eyelid edema which results in a stretching and subsequent... more

Hi Puffy, Even Preparation H didn't help? In addtion to the other answers here, have your internal medicine physician check on your thyroid hormone levels.  Some times this is an easy non-surgical fix to the problem. Fraxel repair laser may help selected patients with malar bags, and it will tighten lax... more

First of all, I am not sure what "laser eyelid surgery" means. The term may relate to laser resurfacing around the eyes. I doubt that this will provide you with meaningful improvements. On the other hand, some doctors use a laser to make an incision for lower blepharoplasty. To me, it does not matter... more

Unless you have allergies, it sounds as if you have excess fat aorund the eyeball that can be removed. Whether or not your surgeon uses a laser to assist in excising or vaporizing the fat is up to your surgeon. It is an individual choice. Laser resurfacing on the skin itself is psrobably not the answer.... more

Without a picture, my answer is a bit of conjecture.  However, lasers treat wrinkled skin, not puffiness.  More than likely, a straightforward blepharoplasty will fix your problem.  It is usually a simple outpatient procedure with predictably good results.

I would like to see a photo of you in the morning, to better localize and differentiate among different culprits (fat, fluid).  It sounds like you are describing festoons, which can be difficult to treat.  Decreasing salt intake, sleeping on your back, and trial of water pill may help... more