Thank you for your question. Active Fx (a form of fractional CO2 laser) is a great treatment for fine lines around the lower eyelid and around the mouth. For treatment of festoons or malar bags, it is best to examine you in person for a more complete treatment plan, but CO2 laser is not usually the first line of treatment for this area. Instead, a simple surgical procedure (lower blepharoplasty) may be best for treatment of any lower eyelid 'puffiness' or 'bags'. Active Fx is a great tool for treatment of fine lines around the mouth. Often in combination with a deeper form of fractional CO2 laser (Total Fx = Deep Fx + Active Fx), this will greatly improve fine lines in this area. This all can be done comfortably in one setting with a skilled facial plastic surgeon who performs both the lower blepharoplasty as well as ActiveFx or TotalFx. I hope this helps and best wishes to you.
Co2 laser works great for this , but it depends how advanced they are. My suggestion is posting photos or seeing someone who is a laser expert as most doctors who does this for general conditions like aging or scars will not know how to be as aggressive (or do it safely) given this is not something they treat normally. Best, Dr. Emer.
