Pro Fractional Laser for Puffy Eyes?

Does the doctor offer lower blepharoplasty surgery?  Typically, puffiness under the eyes is from herniated fat pads, and surgery is the only real option.  Laser will help tighten the skin, but the bags are fat.

The Profractional laser can help puffy lower lids if it is due to excess skin. The profractional laser does not treat puffy lids due to muscular or fatty excess.

Profractional Laser, Mixto, Fraxel, Pixel or other Co2 lasers can help tighten or resurface the delicate lower eyelid skin. without a face to face consultation, it is impossible to state whether this is all that is necessary for you. Laser resurfacing does not remove or contour fat or puffiness. The puffiness can be improved by a traditional or laser blepharoplasty.
In my practice, I use the Mixto laser to contour the fatty tissue as well as to tighten the skin. The profractional does NOT change the fat, as it is not an incisional laser. If you want tightening of the skin without removal of fat, thermage may also be of benefit to you. Does your doctor even perform eyelid surgery? If not you may want to get a second opinion. Best of Luck.