Dear Dr. Seckel, Is eyelid rejuvenation the same as reducing circles and drooping under the eyes? I’m not sure about this. My problem is under my eyes which makes me look tired and older. Do I need a blepharoplasty or eyelid lift? Thank you, Florence, Boston, MA. June 28th, 2006 Dear Florence, Thank you very much for your inquiry about eyelid rejuvenation. The short answer to your question is yes, eyelid rejuvenation refers to the correction of loose skin, puffiness and dark circles under the eye which makes a person look tired. Some patients who only have wrinkles and old looking skin can be made to look much better with a Laserlyte peel also called an ActiveFX Laser Peel and Botox. We are the only center in Boston who has experience with this eyelid rejuvenation technique. The Laserlyte peel or Active-FX Peel with the Lumenis Ultrapulse Encore CO2 Lyte is the newest and best technology available. Most patients however need an eyelid rejuvenation procedure called a blepharoplasty to make the lower eyelid look refreshed and young. I also use the laser to do this procedure and use a modern technique called a transconjunctival laser blepharoplasty which involves a tiny incision on the inside of the eyelid to correct the aging changes. The benefit is that there is no visible scar on the outside of the eyelid and the natural shape of the eyelid is not changed. Most other Plastic Surgeons do this operation through a scalpel incision on the outside of the eyelid which leaves a scar and changes the shape of the eyelid. Finally, to remove dark circles under the eyes we do a procedure called an arcus marginalis release and fat grafting or tear trough implant to plump up the dark circle. This is a new technique and is also done through the inside transconjunctival incision. I would be delighted to offer you a complimentary consultation in Boston to discuss your situation. Please call Michele at 617-262-2208 if you would like to come in for a consultation. Sincerely, Dr Seckel