What is the Best for Undereye Bags and Wrinkles. Botox or Thermage?

       I would not recommend Botox or thermage for the undereye bags.  Depending upon anatomy and goals, filler or some form of lower blepharoplasty can help the area in question.  Kenneth Hughes, MD Los Angeles, CA

Botox and/or Thermage are a waste of time and money for bags or wrinkles under the eyes.  Seek a hands on examination by an experienced surgeon to evaluate whether you are a good candidate or not for some type of blepharoplasty.  Best wishes. Knowledge is power.  Luis F. Villar MD FACS

Neither Botox nor Thermage are particularly effective in treating bags or wrinkles under the eyes. Botox can be helpfull for wrinkles in the crows feet area but would weeken the lower lid  if placed in the under eye area. Thermage has no effect on the fat that creates the under eye bags. The most effective treatment for under eye bags is removal or re- distribution of the offending orbital fat. This requires surgery. As for Wrinkles, laser or chemical peeling in lighter  skin types is likely the most effective.