Loose skin under eyes when I smile

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

I appreciate your concern. If you have a tear trough depression and loss of volume then a dermal filler injection in the eyelid region could help. I would suggest you see an expert injector for a full evaluation and then consider your options. I use a cannula technique and I believe this leads to better outcomes.Best wishes. Dr. ALDO 

The only permanent solution to eye bags is lower blepharoplasty.  The results should last about eight to ten years. You should also develop an anti-aging regimen with your facial plastic surgeon that will include skin care and laser treatments to maintain the results of your blepharoplasty and keep your skin looking healthy and young as you age. I hope this helps.