Will the Pixel laser create collagen around the eye area?

Hi Anna.  Generally speaking, a fractionated technology like Pixel, can help with skin laxity.  The laser does help to stimulate the production of new collagen.  The challenge is that if there has too much volume loss and too much excess skin under the eye, the procedure will not accomplish your goals and you would need dermal fillers or surgery.  We are curious to note that fillers are "completely out of the question".  Did you have a bad experience with fillers?  Not to say they are the correct solution in your case, but they are an excellent option for under the eyes.  Take a look at the link below to view other Long Beach area patients that have had Restylane injections under the eyes.  Good luck.

Pixel laser can stimulate collagen growth, which may thicken
the skin and decreases the signs of wrinkles. However the amount of
growth is different among patients and it may take several treatments to notice
any significant change.