Should I Do the Laser or the Surgery for my Droopy Upper Eyelids?

It is important to know if your problem is truly a droopy eyelid [ptosis], or excess eyelid skin, or a droopy brow....or a combination problem.

Photos would be helpful.

In general, lasers used to make incisions are generally accepted to be a gimmick marketing tool. If you have crepy skin, lasers can be used to resurface skin which will tighten and improve its quality. But if the laser is used specifically to make and incision, it doesn't really give an improved outcome.

there are generally two types of lasers   one is used for incision ,  this is the surgeons preference,   the other is used to tighten skin and smooth lines.

surgery of the lids and brows is usually most effective and laser can further help with texture and fine lines.

There is more than one type of droopy eyelid.  You could have excess upper eyelid skin which is best addressed with an upper blepharoplasty.  Or you could have ptosis of the upper eyelid margin which requires a specialized surgery that strengthens the muscle that raises the upper eyelid margin.  It is also possible to have both issues.  Laser resurfacing addresses skin quality issues.  To do enough laser resurfacing to effectively tighten your upper eyelid, you are likely to suffer from laser resurfacing complications.  I would recommend that focus on finding well qualified surgeons to see in consultation.  Get several opinions.  This is more important than focusing on the method of treatment.

Blepharoplasty  or surgery is the choice for excess skin. If the problem is wrinkles, that is treated with a laser.

There are many options for eyelid surgery incisions. The good news is, they all have nearly identical outcomes when used by an experienced surgeon.  Lasers sound sexy, but are more of a marketing gimmick than a breakthrough for eyelid surgery.  Laser resurfacing of the eyelid skin can be done, but is not as powerful or effective at rejuvenating sagging lids as a blepharoplasty.