Droopy eyelid and deep laughing lines

A combination of fillers with ultherapy and thermage would give improvement. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

In my practice, we have options beyond blepharoplasty to remove the upper eyelid skin. Sometime we create a more open eye appearance using brow ultherapy and botox. The eyelid skin can be improved with ThermiEyes (radiofrequency) and our Madonna lift (CO2 laser). There are lots of options now

Both radiofrequency treatments and Ultherapy® are great for tightening skin, which includes laugh lines, the "accordion" or "pleating" of the cheek and eyelids, even in patients with moderate-to-severe laxity. We often recommend patients to alternate treatments every few months.