I have tried fillers with no help
are more related to malar bags and the small crease that you show is probably best managed with fillers done using the proper techniques. No legitimate surgeon would offer traditional CO2 laser in your situation and blepharoplasties remove excess skin, which I do not appreciate any at all. A dermal filler placed in the proper plane should smooth the crease out. If you prefer something else, ThermiRF could be done to help shrink the skin to diminish the crease. See a board certified plastic surgeon, facial plastic surgeon, or oculoplastic surgeon for more information on how best to manage this
Hello tadaniels2007,I dont know if lasering will give you the bang for the buck so to speak. The problem is either fluid or tissue laxity under the skin. If there is an underlying reason for the festoons such as thyroid disease then any treatmet including surgery might not give you the ultimate result. First step is to find out the underlying cause of your festoons. If you choose to address this I believe the right type of filler augmentation is your best noninvasive option with the least complication. Your previous filler experience certainly can shine some doubt but rest assured it can work. The option with the best longevity and most natural result would be a simple surgical approach. My suggestion is to seek out an experienced oculoplastic surgeon to discuss your risks, complication and benefits.Cheers
