Can a Laser or Chemical Peel to the Under Eye Area Aggravate Edema?

For the right patient, a chemical peel can be a powerful way of correcting the lower eyelid puffiness without the need to do actual eyelid surgery.  Laser resufacing and chemical peels are associated with swelling but there is absolutely no evidence that these procedures damage lower eyelid lymphatics.

Laser resurfacing, chemical peels and blepharoplasty will all cause temporary edema during the healing period. Lasers and chemicals and surgery can tighten the skin of the lower eyelid. Surgery is the only option that will also address lower eyelid "bags."Stephen Weber MD, FACS

When done correctly, chemical peeling and laser resurfacing can improve puffiness (edema) of the lower eyelids.  The treatment itself (laser or chemical peel) will cause temporary edema, but when that resolves, the result should be a tighter, less puffy lower lid with less wrinkles and fine lines. The most important thing after having either a laser treatment or chemical peel to the lower eyelids is to be diligent with your wound care and stay out of the sun. 

 

Laser resurfacing and chemical peels can help puffiness in the lower eyelids.Aging and sun damaged lid skin swells more easily, especially in those with allergic tendencies. Both laser and peels thicken skin to make it more elastic and youthful. Of course there will be temporarily increased swelling after these procedures, but this fades away in time.

Lower eyelid surgery (Blepharoplasty) is an excellent option to reduce puffiness and edema in the lower eyelids.  A chemical peel will help with fine lines and temporary skin tightening but will do nothing to reduce the puffiness.