It took me 10 years to make the decision and am very relieved that I have decided to go for it. My surgeon says that after the belepharoplastie, and after the eyes have healed, a decision will be made whether to have laser treatment. What is your opinion. I am a Board Certified Plastic Surgeon. It depends on what your problem is.
Laser is a good resurfacing tool and best for fine wrinkles.
Laser surgery will not handle a major excess of skin, nor help with eyelid muscle drooping, nor lax eyelid supporting structures. Eyelid surgery with or without lasers handles all of these problems except for the fine wrinkles. Although I can do both, I prefer the knife for general blepharoplasty surgery and reserve the laser for resurfacing problems. In some cases that means only laser, others only knife, and in others both methods. Again depending on the problem such laser surgery is done at the same time as the blepharoplasty, and in other cases reserved for a second operation.