Would a skin pinch help with excess skin? (Photos)

You have some mild fat prolapse in the lower lids.  You do have some fine wrinkling of the lower lids.  A good option would be some filler to the lower lids and some laser resurfacing to help improve the skin texture.If you do a blepharoplasty you will see some improvement.  You don't seem to have a lot of fat, so may not get much filling of the tear trough by moving that fat.  Taking some skin will help, but you still want to improve the texture with some laser.  Melasma would not affect the scar.    

Skin pinch does help with excess skin but it's almost never enough in my experience to address the lower eyelid aging on its own.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search. Without an exam, it will not be possible to fully evaluate you and give you recommendations. 

From the photos, it appears that there are infraorbital sacs and tear trough formation. There also appears to be some volume loss in the upper cheek regions.  Often, as was the case with a patient I had earlier today, the volume deficit in the cheeks is responsible for the development or aggravation of the tear troughs and for the sac formation. Simply treating the cheeks with a volumizing filler in my patient was enough to significantly ameliorate the volume problem, but very importantly significantly improvedthe tear troughs and softened the sacs. If still deemed necessary, filler may also be directly applied directly to the infraorbital region for further improvement, atthough this was unnecessary in my patient. Further improvement can be achieved via the use of a mild TCA peel directly under the eyes, and finally, a microdroplet or two of Botox may sotten the excessive crinkling with motion (smiling) seen in the photo. You would be wise to consult with a board certified aesthetic physician and make certain to ask to see his/her before and after photos before agreeing to proceed. Best of luck.

You mention two very effective tools in lower lid improvement, but be sure to see a surgeon who also has expertise in chemical peel of lower eyelid skin.  A peel can tighten skin without a scar, and correct melasma (will need to follow pre/post peel skin protocol for best results).

Hi,It is difficult to answer your questions without medical quality photographs. If you only concerned with excess loose skin around the eyes and fine lines, then laser resurfacing is a great option. The laser requires a series of 3 treatments with minimal downtime, there is mild redness that resolves in about 72 hours. If have big eye bags, then a blepharoplasty with laser is a great option. A skin pinch has some risks associated with it and I prefer resurfacing (for moderate skin laxity) over excision. Best,Mehdi Sina, MD

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Based on
your photographs, you may benefit from a lower eyelid blepharoplasty with septal reset and a small skin excision.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Yes, when there's excess skin at rest( not upon animation), then a pinch of excess skin can be removed from the lower eyelids along the eyelash line. In our practice, we close that incision with tissue glue. There are no sutures. For many examples, please see the link and the video below

Hi and thanks for your question!  A skin pinch does treat excess lower eyelid skin but you don't have enough skin for that.  You do have some herniating fat of your lower eyelids so a transconjunctival blepharoplasty would help.  If you think you have excess skin, a peel or laser to the lower eyelid skin would help tighten that.  Regarding the wrinkles:  if they are worsened when you smile, then consider botox around your eyes as this will relax the muscles that cause this.  Good luck!