Question: I have creases and small wrinkles below my eyes. Do laser treatments work on the thin skin beneath the eyes? I have permanent crow’s feet that I would like removed at the same time if possible.
Answer: Yes, laser treatments can definitely work on the thin skin of the lower eyelid, but obviously great care has to be taken so that we get the result we want without any complications. Ultimately, you want to see an experienced surgeon that can perform laser resurfacing deep enough to create a significant amount of wrinkle reduction and yet not create any complications such as scarring or pulling of the lower eyelid. Other options, if you have a significant amount of excess skin, would be to pinch the lower excess skin away and place sutures similar to what is performed in an upper eyelid blepharoplasty. The sutures are removed in 3 days and the scar is extremely inconspicuous and is usually less obvious than the wrinkle that had been present in that location. Frequently a combination of the lower lid skin pinch and laser resurfacing is performed with or without a lower lid blepharoplasty.