Age 48, alternative to lower blepharoplasty for mild/moderate lipotosis? (Photos)

Hello and thank you for your question. To address lower eyelid skin laxity in a non-surgical fashion, a reliable option would be a CO2 laser resurfacing. This can help to tighten the lower eyelid skin. You may benefit from an in person consultation with a board certified facial plastic surgeon to best address your concerns.

For mild to moderate lower eyelid lipoptosis, it may be possible to explore non-surgical alternatives to lower blepharoplasty, especially given your history of chronic dry eyes, which makes surgery less ideal.

One option to consider is UltraClear Laser Coring, the latest innovation in laser technology and the #1 non-surgical laser option for tightening lower eyelid skin, improving texture, and reducing excess fat bulging with minimal downtime. Unlike traditional laser resurfacing, laser coring removes micro-columns of tissue, making it a potential alternative to surgery.

However, because the periorbital area is delicate, it is critical to consult with an experienced physician who specializes in this area—whether that is a board-certified oculoplastic surgeon, plastic surgeon, or dermatologist with expertise in laser coring. Physicians like Dr. Brian Biesman, & others are very well known for his work in this field, are great examples of experts who can assess your case and determine the best approach.

I hope this helps! I encourage you to seek out a highly skilled specialist who can provide the best possible guidance for your specific needs. Wishing you the best!
Dr.Shanthala

Laser resurfacing creates heat which can shrink the skin. I have had a lot of success tightening lower eyelids ( and the entire face) with aggressive micro fractional co2 laser resurfacing. Healing time is 5-7 days. I often combine this modality with judicious application of fillers.