I Have Dry Eye After Lower Blepharoplasty, is Laser Resurfacing for Wrinkles Too Risky?

If you have dry eye after a lower eyelid procedure, you should have that evaluated by an oculplastic surgeon, facial plastic surgeon, or plastic surgeon that specializes in this.  Drooping of the lower lid is called "ectropion" and this is often treatable to improve your dry eye condition  You should only consider laser under the eyes after your dry eye condition is optimized or improved.

Laser treatment can cause the lower eyelids to draw down even further as the skin tightens, so you would want to make sure any drooping of the lower lid is corrected first.

I would recommend changing your priorities - treat the dry eye (or ectropion) first, then consider laser for additional treatment only if recommended by a specialist that feels comfortable the laser treatment won't make the dry eye worse.

Best of luck, please let me know if you have any additional questions!

Lower lid blepharoplasty if done properly including canthoplasty (tightening the lid) may actually improve pre existing dry eyes. However, in a few cases the surgery itself can interfere with tear flow and actually cause dry eyes when one did not exist before. Unfortunately this is not alwasy predictable. Once you have developed dry eyes doing laser resurfacing poses a new risk: if not done very carefully it could tighten the lower lid skin to the point to cause a downword shift of the lid margin thus exposing more of your eye and making the dryness potenitally worse. As always go to experienced surgeons/cosmetic dermatologists.