Would a bleph be the only real option? (Photo)

Other options besides surgery include fillers and laser resurfacing. Fillers would add additional volume to your tear trough and laser resurfacing would tighten the skin. In my hands I prefer surgery over fillers. Best to see an eyelid expert.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Daily sun protection and nightly application of 0.1% tretinoin will produce collagen in the area of treatment and lighten your lower eyelid skin. Our GOLD is tretinoin with added hydroquinone lightener and low dose corticosteroids to minimize tretinoin associated redness, dryness, and flaking of treated skin. Light CO2 laser rx will also smooth and tighten that very thin loose skin, and pre-treatment with tretinoin improves the result.