Does Fraxel Laser Treat Sagging Skin Under the Eye Area?

For skin redundancy and fine lines and wrinkles around the eyes, the ablative Fraxel Re:Pair would give a better result than the nonablative Fraxel Re:Store or Re:Fine.

Fraxel Restore laser is good in improving skin texture and photodamage discoloration, but for tightening you would need either the fraxel Repair laser or the fully ablative carbon dioxide laser.  Thermage radiofrequency treatment can also tighten the skin and many patients are treated with both the Fraxel and the Thermage. A series of Fraxel Restore treatments still does not provide good tightening.  Fraxel Repair will cause downtime of up to 12 days and has some risk which you need to discuss with your doctor, including but not limited to scarring and discoloration, but the overhwelming majority of patients undergoing this treatment receive good results, although they are even better with non-fractional ablative carbon dioxide laser.

The CO2 laser is best suited to tighten skin especially under the eye. Ablative CO2 combined with erbium is the gold standard and typically has 10-14 days of healing time. Fractional CO2 or Fraxel Re:pair can also tighten but not as well as fully ablative CO2. The Fraxel Re:store or fractional erbium is good for fine lines and texture and color improvements but will only "tighten" skin a small bit and only through the mechanism of collagen remodeling rather than heat induced collagen tightening (CO2) or wound contraction (CO2 and Fraxel Re:pair).

The Fraxel treatments do not really tighten the skin and are best for simple pigmentation matters and fine lines. Depending on your exact problem and you do not need
blepharoplasty your best bet would be the fractional CO2 Laser. This laser will improve the skin tone around eyelids, improve skin texture and reduce lines and wrinkles.

fraxel works very well for hyperpigmentation problems and for superficial-moderate wrinkles, but it will not actually tighten loose skin. lower eyelid appearance is often a result of a combination of these factors and some others, so fraxel alone will often not adequately remedy the appearance.