Blepharoplasty or fraxel laser? (photos)

Thank you for sharing your problems. Blepharoplasty and laser skin resurfacing combined is the best treatment for your particular problems. The blepharoplasty will remove the bags, while the laser will improve the wrinkles and skin texture. See an experienced doctor who commonly performs both techniques.Good luck,

Hello.  It's always a bit challenging to give a comprehensive answer based on photos, but I do see some of the things that are bothering you.  On frontal view, I don't appreciate much fat pseudoherniation, and I think some sort of skin resurfacing (either CO2 laser or chemical peel) can give you a subtle improvement.  It also looks like you have tear trough deformities on 2nd photo.  Options include fillers or blepharoplasty to improve the contour.  The best thing is to see a board certified surgeon for good in office exam and further discussion of your options.  Good luck.

You have a few options - just remember that you can never get rid of all the lines!  can only improve them.  You could try some HA filler such as restylane to add some volume below the prolapsed fat pads.   This with some laser resurfacing should work well to tighten the skin and make it look smoother.  Another option is a lower lid blepharoplasty with fat repositioning.  Could also do the laser resurfacing with that.