Thermage: Q&A
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Thermage or Blepharoplasty for Sagging Under Eyes?
Will Thermage fix my under eye sagging skin, or will a lower Blepharoplasty work better?
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20 Doctor Answers |
Asked by
SR in TX
in San Antonio,Texas
+2
Thermage is not the answer.
Thermage may work on some areas of the body in some individuals some of the time!! For specific and distinct skin excess, the results may be disappointing. For mildly loose skin or to prevent it, Thermage may be valuable. Lower eylid can be improved with Fraxel, peels or surgery.
Santa Monica Plastic Surgeon
+2
Thermage will not fixing sagging lower eyelid skin
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. Thermage will not get rid of fat bags, and it will not get rid of excess skin. The skin needs to be removed conservatively on the lower lids so as not to change the shape of the eye....
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+2
Thermage should never be an option
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.
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+2
Just say No to Thermage
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
+2
Depends on how severe the skin is
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 will fix the other issues that typically go with aging lower lids such as laxity of the lid margin and fat bulging.
Don't waste your money on Thermage. I think there's no bang for the buck....
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+2
Only mild improvements will be notice with radiofrequency (thermage)
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.
+2
Thermage is no blepharoplasty.
Dear SR
A lot depends on exactly what your issues are. Thermage might make a modest difference but it is not going to correct fullness from herniated orbital fat, it will not get rid of significant lower eyelid wrinkles. If you issue is just a few lower eyelid lines it might benefit the appearance of the lower eyelid skin but if you are looking for surgical results, then it is very likely you will be disappointed with the results of thermage.
+2
Do not do Thermage under eyes
Thermage uses radiofrequency energy which is transmitted very deep into the skin. In some patients, Thermage has dissolved the fat beneath the skin and caused visible depressions.
In my opinion, it is dangerous to use thermage on the eyelids. The skin is very thin and structures around the eye beneath the lower eyelid could be injured.
A blepharoplasty is a much more effective procedure to correct eye bags and eyelid aging. In some cases of wrinkled excess lower eyelid skin I also use a 2940...
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+1
Thermage works well for eyes if there is minimal skin laxity
I have been pleased with Thermage for minimal skin laxity. That is why patient selection is most critical. If you have a small amount of extra skin either below or above the eyes it will tighten it by one to two millimeters to give a brighter more open eye area. However if you have extra fat pad deposits or excess skin wrinkling your best bet is investing in a surgical blepharoplasty.
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+1
Sagging bags better for blepharoplasty than thermage
If your eyelid bags are fluid cavities, then nothing may work. If they are composed of fat then blepharoplasty is beter. if there is loose skin, thermage might work every well.
+1
Thermage and blepharoplasty may be complimentary
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 this is the dominant concern regarding her lower eyelids, Thermage may be a good noninvasive choice to consider. Most patients, however, complains of puffiness and bulging of fat and lower...
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+1
Many options for sagging under eye skin
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 be eliminated, an incision is made in the crease at the top of the lid and excess fat and skin are removed. The incisions are closed and sutured on the underside of the skin.
Topical...
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+1
Thermage results are often disappointing
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 than Thermage.
+1
Eyelid rejuvenation
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 areas.
Eyelid surgery will improve all of the elements- skin, fat bulging, muscle tone and eyelid position- a more complete rejuvenation. Surgery has more downtime but the results will...
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+1
Thermage will not help the under eyes.
Hi! I am actually a proponent of Thermage, and in Manhattan, we have seen good results with Thermage to tighten the jaw line, the stomach, the arms, and the front of the thighs. But I don't think it helps under the eyes.
Depending on your anatomy, Restylane injections or laser resurfacing may help, but to answer your question, there is nothing like a well performed lower blepharoplasty.
+1
Thermage vs. Blepharoplasty for Lower Lids
Personally, I doubt that Thermage will give you meaningful improvement for lower lid aging. It is the combination of shape and coverage that distinguishes a youthful lower lid region: The transition from cheek to lower lid should be soft and convex, the coverage should be made of smooth skin. If it is only skin that is the concern (which it rarely is), a skin-only blepharoplasty can be entertained. Alternative, skin resurfacing (laser, peel) could be discussed but remember that the treatment...
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+1
Chemical Peel, CO2 Laser, or Surgical Blepharoplasty are more proven
I am not aware of any good scientific studies that demonstrate Thermage treatments to be an alternative to Blepharoplasty or Chemical Peel of the lower lids. The procedures mentioned in the title bar are all proven and your surgeon should be skilled in all of these areas so that the appropriate choice can be made in an effort to tighten the skin of your lower lid area. Be sure and find someone who does a lot of these procedures and has all of the tools in their tool box. If the only tool...
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+1
Thermage is a radiofrequency treatment that produces mild to modest improvement in laxity
Thermage is a radiofrequency treatment that produces a deep heat in the tissue. I have seen mild to modest improvement with this treatment. Another option for laxity of the skin might be the fractionated lasers or other resurfacing lasers depending on your skin type and color.
+1
Thermage is insufficient
Hi, Thermage has been touted as an alternative to surgery. However, it provides only minimal tightening of the skin. If your skin is very saggy, blepharoplasty is a much better option. If you have only tiny wrinkles, Thermage might be helpful. Botox is also useful for the "crows feet" at the corners of the eyes. The best way to determine what you need is to see a plastic surgeon for an evaluation. Be sure to stress what bothers you the most, and what you would like to see...
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+1
It all depends on your anatomy
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.
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