Want to improve appearance of baggy/tired-looking eyes - should I do CO2 Laser or blepharoplasty? (photos)

Based on these photos you are excellent candidate for transconjunctival lower blepharoplasty. It will eliminate deep groove (tear trough) and fat pads underneath your eye. Small amount of micro and nano fat grafts would further improve this area. I would suggest upper blepharoplasty to be done in the same time. Good luck.

CO2 laser resurfacing can help improve wrinkles under and around the eyes but it will not help with puffiness or bags under the eyes. I would recommend having lower eyelid surgery, as this will address the fat below your eyes that is causing the bagginess. And you could have surgery on the upper eyelids as well if you desired.

From your photos it appears you are good candidate for lower blepharoplasty. This will address the excess skin and reposition the fat pads beneath the eyes. The result will be smoother, more refreshed appearing eyes. Treatments such as Morpheus8 can be added to improve overall skin tone and texture. I've included a video I hope you find helpful. See a board certified plastic surgeon near you to learn more.

Hello and thank you for your question. Based on your photos, I would suggest a lower lid blepharoplasty. Looking at your upper lids, an upper lid blepharoplasty or brow lift will help in taking away the hooded appearance of the upper eyelids. I suggest seeing a board-certified plastic surgeon in person to better assess your concerns and needs.

Based on your photographs I would recommend an upper and lower eyelid blepharoplasty. Trimming out a small amount of excess skin from the upper eyelid can reduce the fullness and make the eyelid less heavy and more open. A transconjunctival lower eyelid blepharoplasty can remove the excess fat from the lower eyelid without cutting the skin (internal approach) improving the contour and reducing the bags under the eyes. I also believe you would be a great candidate for lower eyelid fillers to fill in the dark circles under the eyes which could be done at the same time. CO2 laser resurfacing can tighten up the lower eyelid skin but is associate with several weeks of visible redness and generally not ideal for men who do not use make up.