I am 43 and have very crepey eyelids. What is the best hydrating serum to use? Should I consider a blepharoplasty?

In terms of products, use any you like – you can find a selection of my favourite eye creams/ serums here.

Skincare can only do so much though. It won’t tighten eyelid skin significantly and a blepharoplasty may be necessary to get any real results, especially if the eyelids are very lax, as you say. The only way to know what’s best for you is to have a consultation with a surgeon. Look for an oculoplastic surgeon who specialises in eyes and is very experienced in blepharoplasties (search ‘oculoplastic’ on this site for the ones that are listed here).

Laser treatment around the eyes and across the eyelids will tighten the skin but again you want this done by someone who is highly experienced in treating the eye area. You need to have eye protectors, like metal or hard plastic contact lenses, inserted into the eyes for this sort of procedure, which puts some people off.

In between these options, Tixel (a heat-based skin tightening device) can help with eyelids and around the eye. Here’s a link to the page about this treatment