I have wrinkly eyelids, slight drooping and fine lines lower lid. Which treatment should I go for?

Hello,
Thank you for your question. Most of the eyelid treatments apart from surgery don't really tend to work very well I'm afraid. The best treatment for excess eyelid skin is usually surgery. Upper eyelid surgery is pretty straight forward. Lower eyelid surgery is considerably more complicated. It's therefore worth going to see someone that does a lot of them for some advice before spending lots of time not things that are unlikely to give you the results you are looking for.
Good luck with it all anyway!
Russell

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Without photos, it is really difficult to answer you in any but the most general way. However, for upper lid laxity (if fillers and Botox are not appropriate), consider The Ten Minute Eyelift. For lower lid crinkles and wrinkles, Botox might prove appropriate and'or certain fillers. So now that you have explored all the relatively expensive "bells and whistles" devices that you mention in your question (whose science btw lags far behind the intense marketing and advertising hype), you might wish to investigate the approaches mentioned above. You can do so by checking out the archives of Realself or doing a conventional internet search. Wishing you the best of luck.

Eyelid surgery has become one of my most popular procedures. If excess upper eyelid skin is hooding the eye and needs to be eliminated, an incision is made in the crease at the top of the lid and excess fat and skin are removed. The incisions are closed and sutured on the underside of the skin. If undereye puffiness and dark circles need to be eliminated, an incision is made along the lower lashes that will be almost invisible when it heals. Next, the fat below is either removed or redistributed and the saggy and crepey excess skin is then pulled up and cut off. The incisions are closed with tiny sutures, which are removed in four to six days. The incisions are along your eyelash line, making it a virtually scarless procedure.
An effective non-surgical option that might benefit you is Thermage, which can tighten the skin around the eyes. The new and improved Thermage is a virtually painless, non-invasive (no incision!) treatment that can tighten skin and stimulate your body to make healthier collagen—the building block that provides structure to your skin. Fast and easy, Thermage requires no downtime from normal activities. The use of certain topical creams can also be helpful to reduce the appearance of dark circles and puffiness around the eyes. I suggest making an appointment with a board certified plastic surgeon experienced in blepharoplasty.