Thermage or Ulthera for Crows Feet? Doctor Answers, Tips
Ultherapy: Q&A
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Thermage or Ulthera for Crows Feet?

Which treatment is better for skin tightening around the eye. I am beginning to get lax skin and creasing, that botox is not correcting. Which is more effective,safer, longer lasting?

7 Doctor Answers | Asked by LidiaC in Los Angeles, CA
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Ulthera vs Thermage

There isn't a definitive answer to your question, but it might be helpful to describe the similarities and differences between Ultherapy and Thermage. Both apply heat into the tissues under the skin to stimulate collagen remodelling, which causes tightening over a period of a few months. Thermage uses radiofrequency which is sort of like an electric current. Ulthera uses microfocused ultrasound, so it is applied with precision at specific depths under the surface. For crow's feet,... more
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Ulthera for Crow's feet

Ulthera is great option since there are almost no side effects and it can be preformed in addition to Botox. I personally prefer to use Ulthera and have experienced remarkable results with this technology for my patients.
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Ulthera vs. thermage for crow's feet

Ulthera probably delivers more predictable results than thermage because it utilizes focused ultrasound that can be visualized while treating as opposed to radiofrequency technology. You could also try this is combination with Botox.

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Ulthera for Crows Feet

There are a number of different treatments options available to help reduce the appearance of crowsfeet. I prefer using either ultherapy, Botox Cosmetic, or fractional laser treatments. In some cases, I will often combine more than one of these treatment options. Ultherapy produces safe ultrasound waves of energy to firm and tighten skin, reducing wrinkles. Botox paralyzes and relaxes muscles, which results in smooth skin and our Palomar Starlux 500 fractional... more
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Ulthera For Crow's Feet

Ultherapy is FDA-approved for a non-surgical eyebrow lift, because it is able to actually lift and tighten the eyelid skin enough to achieve this indication. Thermage is only FDA- approved for the improvement of fine lines and rhytides. If you have skin laxity within the orbital rim you may need to combine the procedure with a fractionated CO2 device. Good luck!
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Ultherapy over Thermage for Crows feet

While Botox is the gold standard, some of the wrinkles along the crows feet is due to loss of volume and diminished skin and muscle elasticity. Judicious placement of hyaluronic acid filler can help to replenish volume within and near the orbits. In my clinical opinion, Ultherapy is more consistent than Thermage overall, particularly in the case of periorbital areas due to precise nature of Ultrasonic energy delivery where the subcutaneous tissues are visualized real-time with Ultherapy as... more
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Thermage or Ulthera for Crows Feet?

Hello and thank you for your question. My office offers both modalities and in most patients, ulthera is better for skin/muscle tightening in this area. While Thermage does have results in a certain population of patients, Ulthera is more predictable. Botox is usually needed as well. Best Wishes, Pablo Prichard, MD
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