Thermage or Blepharoplasty for sagging under eyes?

Thermage and Blepharoplasty are each good treatments for treating certain types of lower eyelid problems. I think it's generally a false choice to consider one or the other as they tend to address different issues.  Thermage is very effective for providing some degree of improvement in fine lines. If... more

Thermage will not fixing sagging lower eyelid skin. The primary goal for a lower blepharoplasty is to remove excess fat bags on the lower lids. If there is excess skin, this is removed through a pinch technique and closed with Histocryl tissue adhesive. There are no sutures placed on the lower lids. ... more

The eyes are the windows to the soul. All too often, however, they seem to reveal exhaustion. The very delicate skin around the eyes tends to get crepey and puffy due to fatigue and stress. Eyelid surgery has become one of my most popular procedures. If excess upper eyelid skin is hooding the eye and needs to... more

I agree with the others on this.  Thermage is expensive and has not been shown to provide great results.  Most good surgeons do not offer this treatment any longer.  Blepharoplasty is usually the way to go.

Thermage in my opinion, is not a good treatment, especially around the eye.  Not enough control.  A blepharoplasty can get you what you want, safely, reliably. sek

Thermage is an expensive and somewhat painful treatment that very often leaves patients thinking they did not get enough from the treatment to have been worth doing it.  Their thousands of dollars are not refunded after this experience either.  I would go with surgery or CO2 lasers or peels rather... more

 It all really depends on your anatomy.  There is not a single procedure or instrument that is appropriate for all patients.  If you provide pictures we may be able to give you more specific advice.  Good luck with your procedure/surgery.  

Dear SR, the device or procedure you choose really depends on what your goals are.  Thermage will give some improvement to the lower eyelids- improved texture and tone of the skin, moderate to very good improvement of the upper eyelids and will help elevate the eyebrows if enough pulses are used in the... more

First, let me say I'm not a fan of Thermage.  I don't think there's any real significant data that show that it works.  What does work to different degrees is Retin-A for mild aging and sun damage, CO2 or fractionated CO2 laser, peels and if the more severe cases surgery.  In addition surgery... more

For very lax  skin radiofrequency treatment will not produce a dramatic result and it works best in areas with less dynamic movements..... neck skin loose abdominal skin etc.  Ablative Fractional Laser rejuvenation and excision with blepharoplasty will produce the best results.   more