Does Fraxel Laser Treat Sagging Skin Under the Eye Area?

Answers (5)

Fraxel Re:Pair or CO2 best for sagging skin under eye

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).

Elizabeth F. Rostan, MD

Charlotte Dermatologist
19 reviews

Fraxel helps wrinkles and hyperpigmentation

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.

Bruce K. Barach, MD
Bruce K. Barach, MD
Schenectady Plastic Surgeon
13 reviews

Fraxel Re:Pair for skin tightening

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 laser for eyelid skin tightening

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.

Ronald Shelton, MD
Ronald Shelton, MD
Manhattan Dermatologic Surgeon
44 reviews

Fraxel Laser for sagging skin under eye

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.

Learn more:

Michael Elam, MD
Michael Elam, MD
Orange County Facial Plastic Surgeon
229 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

Ask a Provider

Get personalized answers from board-certified doctors.