Hi, I have very loose skin under my eyes, which is very apparent when I smile, and I wondered what the best treatment for this would be? Would it be surgery to remove the loose skin? Many thanks.

Hi, the gold-standard treatment would probably be a lower blepharoplasty or eye lift, as this will make a real difference to the look of your face. Some skin tightening treatments such as radiofrequency microneedling may help in this area, and strong ablative lasering would make a big difference but would need a lot of downtime to recover. Find a good oculoplastic surgeon for an opinion, and go from there.