Will Fraxel laser help with the excess skin in my eyelids? (Photo)

Question

I recently turned 45 and have noticed that when I smile my eyes almost completely close. I’ve been looking at bleroplasty but was hoping I could tighten the skin with laser instead.

Jason Emer, MD · Answer

Yes, Fraxel or Co2 can be used for this, but a combination approach would give the most improvement. Fillers, lasers, and microneedling/PRP can improve this area. I recommend injections with cannulas to limit complications. See an expert for a formal evaluation. Best, Dr. Emer

Ray Bayati, MD · Answer

Hello,A combination of treatment procedures would be necessary.Botox to improve dynamic muscle activity.Fillers, Fraxel and PRP improve tear trough abnormalities.A medical skin care product for the area, would be necessary too.

Craig Koniver, MD · Answer

Hi. I would not recommend Fraxel in lieu of surgery in your case. We do a lot of Fraxel eyelid treatments in our practice with the appropriate ocular shields. However, the tightening that you get from Fraxel is almost better described as a side effect than anything. The 1550 wavelength on the Fraxel Dual stimulates collagen production which over time leads to some degree of skin tightening but if your main concern is skin laxity, I'm not sure Fraxel, or any of the other options previously mentioned, is going to give you the desired results you want. We hate to see people waste money going down a rabbit hole when a good surgeon is all they really needed. And please note, we do not do surgery in our practice so we are just giving you what we view as the best advice for your concern.

Will Fraxel laser help with the excess skin in my eyelids? (Photo)

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