A pixel laser can be used under the eyes. Laser brandnames can be dizzying to try to figure out, so it is helpful to know what kind of laser you are talking about. "pixel" usually refers to an Alma brand fractionated erbium 2940 nm laser. This is an ablative laser, meaning that it vaporizes tiny columns within the skin. There is not much heating of the skin with an erbium laser, which can be good or bad. The good is that it is a fast recovery, the bad is that the tightening effects are not as dramatic as a fractional CO2 laser which has more heating. We recently upgraded to a fractional CO2 laser in our office because I was not happy with the level of tightening I was seeing in my patients. With the CO2 laser I can perform a "heavy" treatment with about 5 days of downtime but requiring only one treatment, or a series of lower downtime treatments with additive resultss. That being said, the quality of the treatment depends highly on the skill of your doctor, so make sure to ask for some before and afters, understand what kind of laser they are using, and how long they have been using this particular laser. Best wishes!
