How to best address under eye laxity/fat pads? (photo)

Question

30F, 5’4” 135lbs, Fitzpatrick I with oiliness and occasional acne. I lost a considerable amount of weight over a span of about a year and a half, and my under eyes haven’t bounced back the way I hoped. Looking to see if a CO2 laser procedure would be a good solution as I don’t really want to go the filler/lower blepharoplasty route if I can avoid it.

Jonghyun Hong, MD · Answer

Hello dear Celebrated722424,
Unfortunately, CO2 laser is not an alternative to fillers or under-eye fat repositioning. Lasers only work on superficial layers of the skin and do not affect the deeper layers. Additionally, the skin under the eyes is very thin and sensitive, so I personally do not recommend CO2 laser for this area.
Your case doesn't require lower blepharoplasty but rather under-eye fat repositioning. In this procedure, the fat pads under the eyes are relocated and fixed in the correct position, making the area smoother and more even. The method is transconjunctival, which means there are no visible stitches, as the incision is made by laser inside the lower eyelash line.
I hope this explanation helps.
Best regards,Dr. Hong & Team

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