Can a laser help this extra skin when I smile, or would I need a lower eyelid surgery? (Photos)

Based on the photos, the eye area appears sunken due to the facial structure, and the front cheekbones are quite prominent. Additionally, the skin has started to lose elasticity, resulting in sagging and the formation of fine wrinkles—particularly noticeable when smiling. When we smile, the contraction and relaxation of muscles cause the surrounding skin and tissue to move together.To improve the under-eye area in the current condition, we recommend a lower blepharoplasty (under-eye surgery). This involves removing the excess, sagging skin to create a tighter, smoother under-eye area, which helps reduce wrinkles and provides a more youthful appearance.

Based on these photos it appears that you would benefit from lower blepharoplasty and cheek augmentation with fat grafts. Good luck.

Based on your nicely posted photos, I would recommend micro Botox with Endo lays treatments about 2 to 3 sessions every once every month expect fee to range from $1500-$2000 per session. Best of virtual consult with.