Thanks for your question and posting a picture. After a complete consultation in a medical setting, we would probably offer you several options. For skin tightening, we would probably recommend trying a series of bulk heating treatments of the area first, rather than our PicoSure FOCUS. We love Pelleve for skin tightening. The goal is sustain a skin temperature in the treated area for 3-5 minutes at 40-43 degrees Celsius. Pelleve is painless, no downtime procedure that feels like a warm rock massage. Since it is radio frequency and not a laser, it is safe for all skin types and all ages ESPECIALLY AROUND THE EYES. We might also suggest some filler, BOTOX, a couple of different lasers, including the PicoSure. Best of luck.
Picosure can help, especially if one has darker skin type, however much better lasers out there for this job including erbium and CO2, both in fully ablative as well as fractional mode. Pico is best for low downtime skin rejuvenation in ethnic skin types with mild laxity. In your case, it can improve things, but I would use other methods- lasers. All the best, Dr Davin Lim. Brisbane. Australia.