Is Thermage CPT with no downtime or Fraxel Repair with 5 days downtime best for tightening upper and lower eyelids? Thanx
Thermage CPT or Fraxel Repair for Tightening Eyelids?
Doctor Answers (4)
Best treatment for eyelid tightening
The best treatment for tightening eyelid skin is different for everyone. For those people with mild looseness and minimal wrinkling, Thermage may be the best choice. When there are more wrinkles, Fraxel re:pair might be a better treatment as it smooths lines and does some mild tightening. When there is significant skin looseness surgery may be the best option. The condition of the skin and the age of the patient also play a role. Thermage works by tightening your collagen, so the more collagen you have to begin with the more noticeable your results will be. You should have a consultation with a physician who has experience with all the treatment options, so you can determine what is best for you.
As a non-surgical option, Thermage CPT for the upper eyelids is the better choice. The skin of the upper eyelid is so thin that I believe you should stay away from laser resurfacing. There are some important precautions for the upper eyelid Thermage procedure and you should therefore be sure that there is a plastic surgeon present at the time of your treatment. The lower lid issues are typically not skin issues but are mainly due to fat. It's hard to advise you without seeing a photo but, in many cases, removing the fat is significant enough and the skin often contracts on its own. I think Fractional Resurfacing with Fraxel, Fractionated CO2, Erbium, or Radio-frequency will ail improve the appearance of lower eyelid laxity. Scott Newman, MD FACS
Thermage and fraxel repair can both be used for tightening the upper and lower lids
Thermage and fraxel repair can both be used for tightening the upper and lower lids only when there is mild laxity. Thermage will do only a little tightening initially, but continues to improve and stimulate collagen for up to 6 months. Fraxel repair doesn’t do much tightening. It does more superficial tissue repair with some minimal tightening. CO2 Fraxelated laser will give you more tightening, but requires much more downtime.
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