Under certain conditions, lasers can be most useful in creating a smoother under eye area. A fractionated carbon dioxide laser such as Fraxel repair laser gives great results if there is minimal fat under your eyes. However, if you have a lot of fat that’s protruding, it may be best to remove or reposition it by means of a surgical incision.
If hollowness in the under eye area is what’s giving you a baggy look, injections of a dermal filler or of your own fat to smooth out the area may be the best approach.
Cosmetic eye surgery (blepharoplasty) using a laser as a cutting tool is not much different from surgery performed with a scalpel. With laser incisions there is initially less swelling and bruising than with scalpel incisions. However, by the second or third day, the healing, swelling and bruising is the same with incisions made by both instruments.
Also, CO2 lasers, especially and the new Fractionated CO2 lasers, can resurface crepey skin on the lower eyelid and create a much smoother surface without any incisions at all.
In order to know which procedure will work best for your cosmetic eye improvement, choose a plastic surgeon very carefully and be sure that your expectations meet your surgeon’s expectations and ability. And remember, it never hurts to get a second opinion!