Can laser resurfacing make under eye bags worse? I heard the after you tighten the skin the bags can be more prominent and more noticeable. My derm says will help. What is the truth?
Can Laser Resurfacing Make Under Eye Bags Worse?
Doctor Answers 16
Laser resurfacing does not remove eye bags
Laser Resurfacing Will Improve Under Eye Bags
I LOVE laser skin resurfacing the lower eyelids!!! As an Ocular Plastic Surgeon I gave up the scalpel blade 15 years ago for the CO2 (carbon dioxide) laser. The laser can be used to gently remove the fullness (fat) in the lower eyelids.
Once the fatty tissue is sculpted the same laser can be used to resurface or smooth the skin. The results are beautiful. The laser causes a gentle tightening and contraction of the skin helping to further diminish the under eye bags and wrinkles.
Laser Resurfacing is Great for Eyelids
There are usually 3 things to treat when performing surgery on the lower eyelids: 1) protruding fat or "bags" 2) a loose eyelid that causing drooping of the outer part of the lid 3) loose skin that makes wrinkles or even sagging piles of skin under the eye. Patients can have some or all of these features that cause them to appear more tired, sad or older.
Laser resurfacing works great to treat the loose skin part of the eyelid. The most common procedure I perform on lower eyelids is a blepharoplasty to remove the fat through an incision on the inside of the eyelid followed by CO2 or plasma resurfacing of the eyelid skin to tighten and rejuvenate.
There are always potential problems but they should be extremely rare when treatments are done correctly. For example, a loose eyelid may become worse after resurfacing. This should be identified before and an eyelid tightening procedure should be done to prevent it. Temporary increase in pigmentation or prolonged redness may occur with resurfacing. A very rare possibility is loss of pigment or whitening with CO2 resurfacing. This has not occurred with plasma resurfacing.
When done properly in trained hands, the results should provide a rejuvenated, more youthful and beautiful eyelid.
Good luck, I hope this was helpful.
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Laser resurfacing removes eyelid wrinkes, not eye bags
Eyelid wrinkles and loose eyelid skin can camouflage eye bags. Laser resurfacing can remove eyelid wrinkles and tighten eyelid skin, and after laser resurfacing eye bags can be more obvious.
Many non surgeons try to achieve a blepharoplasty by using laser resurfacing, and it is simply impossible to remove eye bags with laser resurfacing.
Combining laser resurfacing with a blepharoplasty can be done, but it is very tricky.
Too aggressive laser resurfacing combined with blepharoplasty can cause scarring and pull the eyelid down into an Ectropion -- a serious complication.
After fifteen years of doing combined laser resurfacing and blepharoplasty I now only use fractional Ablative 2940 Erbium laser resurfacing with blepharoplasty. The fractional ablative 2940 Erbium is very effective but less aggressive than the CO2 laser flat beam or fractional. I believe it is safer.
Laser generally gives a good result
Mild to moderate improvement of the apparently bulging due to excess peri-orbital fat can definitely be achieved with laser resurfacing. In my experience I have never seen a patient who's under-eye bags have been made worse by laser.
The basic cause of the deformity is a combination of skin and soft tissue laxity, if only the skin is tightened the entire problem is not fully addressed. So while laser offers some improvement, full correction can only be achieved with a surgical approach.
Laser Resurfacing for Eye Bags
The impact of laser on the eye bags is heavily debated. Patient selection is key. Consult in person with three experienced and expert treating physicians to understand your options.
Blepharoplasty is best to remove eye bags
Although laser skin resurfacing can be done to tighten the skin below the eyes, potentially reducing the appearance of under-eye bags, blepharoplasty (eyelid surgery) is more effective in significantly reducing or even completely removing bags underneath the eyes. Laser skin resurfacing should not normally make under-eye bags worse. However, as there are several factors involved and the cause of bags varies, you should consult a certified, experienced facial plastic surgeon in person to find the best solution for you.
Laser and under eye bags
Laser Resurfacing Under Eye
Laser skin resurfacing for lower eyelids
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.