Laser Resurfacing or Non-surgical Procedures to Tighten Under Eye Area?

First, you need to have determined if you are a good candidate for any more procedures.  Eye revisions are often followed with complications because only so much skin can be removed before the eyelid droops, known as an ectropian.  Only go to a Board Certified Plastic Surgeon experienced in eyelid revisions to understand your options. 

The most effective laser for tightening the skin around the eyes is the Active and Deep FX Ultrapulse CO2 laser. There are many different fractionated lasers that may help. But the Ultrapulse CO2 appears to be the most effective with the least pain and down-time. Physician experience is also important, since the laser can be used in a variety of settings. So be sure to select an experienced Board Certified Dermatologist or Cosmetic Surgeon. In my office, this procedure is performed entirely under topical anesthesia and patients can put make-up over the area in 4-5 days with complete healing in 7-10 days.

Hi,
Laser resurfacing, chemical peel, and injectable fillers all are minimally invasive procedures that will help improve the appearance of your lower eyelids. Your lower eyelid seems to have a reasonably large tear trough (groove between inner portion of lower eyelid and cheek), which can be treated very effectively with Restylane or Juvederm. If you also have some loose skin, an in office chemical or laser peel can effectively tighten the lower eyelids.
Best of luck!