Best Laser Tightening for the Skin Around the Eyes?

The new combined fractional laser skin resurfacing provides excellent results with less risk than CO2 based lasers.The new procedure utilizes a combination of two different erbium laser wavelengths. The treatment consists of the non-ablative fractional Lux1440 Erbium laser followed by the Lux2940 fractional Erbium ablative laser (see reference below.)Results with this technique are the best I have seen in 15 years of doing laser resurfacing.The benefit over CO2 based lasers, fractional... more

Hi Te, For a 31 year old woman with "some very minor hooding/excess skin on my upper eyelids (and a bit of excess skin on the lowers)", and who does not wish to undergo a surgical procedure, fractionated CO2 laser will correct the minimal skin excess. Fraxel re:pair is the fractionated CO2 laser that has accomplished this for patients in my practice. Fraxel re:store is a not a fractionated CO2 laser and will not do the job. Those physicians here who have stated that... more

Depending on the amount of skin of your upper and lower eyelids you will have 2 options. 1. If the amount of skin is mild to modest you can have a non-surgical eyelid rejuvenation with ActiveFX/DeepFX. in my hands I have had very good results with this technique specially when used in young patients. The skin tightening ability of ActiveFX in the eyelid area is very effective for premature aging. This will improve the wrinkles and sun spot/damage skin as well. the recovery time is about 4-5... more

Fractional CO2 laser skin resurfacing is a safe and effective procedure which helps to smooth and tighten the skin of the upper and lower eyelids. The laser energy is absorbed by the collagen fibers in the deep layers of the skin's dermis, causing the collagen to remodel and contract which improves the texture and tone of the lid tissues. In addition,the outer layers of skin will peel following the procedure, which helps to eliminate brown spots and superficial fine lines and scars. In g... more

If you have early hooding of the upper lid, you may just need a blepharoplasty. You may be able to avoid this with some Botox to elevate the tail of the later eyebrow. 

If your skin is hanging out on your eyelashes, go for the blepharoplasty. But if there is a bit extra only, I think a good mix of noninvasive treatments can be very effective. First - Botox injected in the lateral brow will lift it, taking skin from the upper lid. Second - a fractionated CO2 laser with eye protection is great for crepey skin. Finally - the Alma Accent, usually about 4 to 5 treatments performed over forehead AND upper lid, works to tighten the loose skin. These treatments... more

Many minimally invasive lasers have been used, especially for lower eyelids. Currently, we have been very pleased with Fraxel as both safe and effective with early eyelid skin changes. Many highly trained oculoplastic surgeons are very skilled at treating the eylid area with lasers

For non-surgical rejuvenation of the lateral brow and for a mild degree of lateral hooding you may consider Botox injections. With proper technique you can get a degree of lifting of the brow this may help with your hooding. It is also possible that you could get some degree of correction of the lateral lower lids as well. An evaluation by an experienced plastic surgeon or dermatologist may be beneficial.

If you actually have hooding of the upper lids, where you can take extra skin up between your fingers, laser tightening of the skin won't accomplish very much. That excess skin will have to be cut out. Resurfacing works well when dealing with more superficial wrinkles such as in the crows feet region or to treat the" crepe like" skin of the lower eyelid. There have been some physicians who report that they can shrink some of the lower eyelid fat pads with a cutaneous laser by... more

No. None of them will get rid of the hooding that you are describing. Only an upper eyelid Blepharoplasty and/or a Brow lift will help. Regards

You really can't shrink skin, no matter what the method. The co2 laser will allow very modest tightening but it is agressive and patients need to be properly selected. If there is a true excess, only surgical removal will work. You are right about thermage, it doesn't work. Neither does fraxel therapy or Pearl (which I use for modest sun damage. Examine the patients at the galleries. Look at blepharoplasty and co2 laser. You might see someone with problems similar to your own. more