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.

 From the very limited photographs, it appears there may be excess skin on the upper lids and fatty deposits in the lower lids. The primary goal for upper eyelid surgery is to remove excess skin creating the hooded or tired look. A small amount of fat is also removed from the upper lids when necessary. The primary goal for lower eye lid surgery is to remove the bags creating the puffy look. The fat is removed from an incision on the inside of the eyelids  known as a trans-conjunctival approach. If there is excess skin present, small pinch technique can be used. The amount of skin removed on the lower lids is determined at rest, not upon animation. For more information and many examples, please see the video and  the link below