My eyes look tired and old. Considering upper and lower blepharoplasty or DOT laser. What would help? (photos)

You appear to be a great candidate for an upper and lower blepharoplasty. A non-surgical solution just can't improve the excess skin around the eyes in any significant fashion. A blepharoplasty can be performed in the office setting, and sutures are usually removed in just a few days. See someone with extensive experience.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers

In my experience, patients with similar anatomy to yours get the best results with a combination of surgery and laser resurfacing. Based on the photos provided, there appears to be excess fatty tissue around the eyes causing puffiness, as well as excess skin and muscle. All of these need to be reduced, which can really only be done with surgery. Additionally, laser skin resurfacing to decrease wrinkling, decrease crepiness, and improve the texture of the skin give the best overall result.
Be sure to see an expert.
All the best,

Hi.  I think you would be a great candidate for upper and lower blepharoplasty.  Laser or other non-invasive options would not be able to fully correct the excess skin that you have.  You likely will still need a little Botox for your crow's feet, because blepharoplasty doesn't fix that.  Best of luck!

If your main concern is hooding of the upper eyelids and excess fullness in the lower eyelids, then cosmetic surgery (ie: blepharoplasty, or eyelid lift) is the best option to treat your concerns. Laser skin resurfacing treatments work well to treat the texture of the skin, such as crepey skin and fine lines and wrinkles. Sometimes patients will chose a combination of treatments (surgery, laser and injectables) to address excess skin and fat as well as skin tone and texture.Undergoing any surgical procedure requires careful attention to detail and consideration for different options.  However, whenever possible, it is strongly preferable to make sure your concerns are addressed with a single surgery. Consider obtaining several opinions before moving forward with any given procedure. Always trust your face to a board-certified facial plastic surgeon or a board-certified plastic surgeon with very extensive blepharoplasty (eyelid surgery) experience. 

Great question!  I would suggest upper lid blepharoplasty, which will remove the excess upper lid skin with a barely perceptible scar, and a transconj lower lid blepharoplasty with no external scar.  The lower lid skin can be treated at the same time with a fractionated CO2 laser peel.  I hope this helps you!

You appear to be a good candidate for Upper and lower lid blepharoplasty. A peel will help rejuvenate a delicate lower eyelid area. 

This is a common question.  Upper droopy eyelids & wrinkles can be corrected with blepharoplasty or cosmetic eyelid surgery. It is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your unique anatomy as well as what exactly is bothering you. Botox injections as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations.The recovery & downtime is very minimal. There are usually no drains, most people can go out the same day, you can shower the next day and most patients take no pain medicine. There are never any guarantees of course with any procedure whether it is surgical or nonsurgical in nature. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. 

I think you are a great candidate for an upper and lower blepharoplasty. It will make you look younger and brighter eyed. I don’t think anything else would be helpful, but I’m a big fan of Voluma to the cheeks. Hope this helps and best of luck!

Dots. lasers are sure waste of money and time for your condition. You will need upper and lower blepheroplasty. Continue Botox for crows' feet though  

kimmied100, hard to evaluate a photo when you are smiling! However, looks like you would best be served with a brow lift and a "SOOF lift blepharoplasty". Make sure you see a plastic surgeon that does "only faces" and has decades of experience. See the video and good luck!