Do I need a blepharoplasty or would PRP/ microneedling help? (Photo)

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

Hello! I’m Lauren, the aesthetic provider here at Colorado Plastic Surgery Center. Great question, and one we hear often from patients exploring non-surgical vs. surgical options. Whether you’d benefit more from a blepharoplasty (eyelid surgery) or non-surgical treatments like PRP and microneedling really depends on what you're trying to improve. If you have excess skin, drooping lids, or fat pads under your eyes, surgery is usually the most effective and long-lasting solution.
On the other hand, PRP and microneedling can be helpful for fine lines, mild crepey skin, or dark circles, especially if the issues are related to skin texture or pigment rather than actual sagging or structural changes.
An in-person consultation is the best way to determine which option will give you the results you’re looking for. In some cases, a combination approach works best.