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Is Ulthera Useful for Droppy Eyelids?

Hi, I am 35 years old and have some excess skin on my upper eyelids. I have tried Botox to erase some horizontal frown lines as well as give the brows a lift, which it did but not to the extent I would like to see. My question is, am I running a risk of assymetry by having ultherapy done to my upper forehead/brow/eye area? I never had high brows to begin with, just want to get rid of the "tired" eye look without looking freakish! :) Thanks!

Doctor Answers (15)

Ultherapy for browlift

+2
Ultherapy is FDA approved for a browlift. You can perform an advanced technique by delivering lines/energy just above the bone directly below the brow to give the appearance of an additional lift. However, Ultherapy does not replace an upper blephoraplasty. Ultherapy will give a natural browlift, with no concern of looking "freakish". I often inject Botox the same day as Ultherpay which gives the patient "instant" gratification as Ultherapy takes 3-6 months to see your end result. No one is symmetrical but with Ultherapy you can deliver more energy to an area in hopes of improving the asymmetry. 


Knoxville Dermatologist
5.0 out of 5 stars 9 reviews

Ultherapy for droopy eyelids

+1
Ultherapy cannot be applied directly to the upper eyelid. It can be applied to the forehead and area directly above the brow to open the eye. It can also be applied to the cheekbone below the lower lid to smooth the transition between the eyelid and cheek, shortening that distance and rejuvenating the face.

Michele A. Shermak, MD
Baltimore Plastic Surgeon
5.0 out of 5 stars 26 reviews

Ultherapy for browlifting and eyelid rejuvenation

+1

Ultherapy is an excellent modality for brow lifting. This can be used successfully in addition to an eyelid lift to open up the eyes. Raffy Karamanoukian, Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 46 reviews

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Ultherapy is not for eye lifting

+1

Ultherapy is a great procedure but the patients must be picked carefully.  The brow can be elevated 2-6 mm in height.  It is not permanent  and the height will be unpredictable   This does not lift the eyelid and eyelid surgery may be the best long term answer 

Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 28 reviews

Ulthera for Droopy Eyelids

+1

Ulthera can be used, to raise the brows and give the eyes a more open appearance.  The treatment cannot be performed on the upper lids or inside the orbital rim in order to protect your vision.  However, we can treat above the brows and on the crowsfeet area to give you a lift of the brow, which than can open the eyes and make them less "heavy".  If your brows are currently symmetric, your brows should be treated symmetrically and result in a symmetric lift.  We have had good results with customizing treatments for patients who have asymmetric brows to make them more even.  Since this is a treatment that you see results in a progressive manner rather than an abrupt change, the patients have a very natural appearance that is generally not noticed other than them looking more "refreshed"!

Angela Sturm, MD
Houston Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Ultherapy for doopy eyse It is a brow lift not and eyelid lift!

+1

Eyelid lift and Brow lift are terms that are commonly confused or used interchangeably.  The Ulthera approach to eye rejuvenation that we perform in our practice is technically more of a browlift. The place of action is the forehead to lift the brow and secondarily lift the skin of the upper eyelid. It is not approved at this point for use directly on the delicate upper eyelid skin. This is why it is important to go to a place where they are well equiped to provide a full range of treatment options.  Frequently, lifting the brow is not enough to correct the sagging of upper eyelid skin, and in these instances we will perform a eyelid lift either with a fractional CO2 laser or surgically.  The CO2 effect on the upper eyelid lift is very dramatic and immediate. We can visibly see this thin skin contract on the spot.  These procedures can be performed in the same treatment setting.

Arthur N. Falk, MD
Albany Facial Plastic Surgeon
4.5 out of 5 stars 7 reviews

Ulthera is a Great 1st Step

+1

Patients with heaviness and drooping of the upper eyelids most definitely can benefit from brow lifting procedure. Ulthera is one of the most effective non-surgical FDA-approved techniques to accomplish just that. Keep in mind that other factors can affect the rate of success - other medical conditions, enlargement of the lacrimal (tear) gland, and a family genetic tendency for loosening of the upper eyelid skin. This and other conditions may require additional procedures to fully correct.

Manu Gujrati, MD
San Jose Facial Plastic Surgeon
5.0 out of 5 stars 1 review

Ultherapy for Droopy Eyelids

+1

Ultherapy is the only modality that is FDA approved to nonsurgically treat droopy eyelids. We have had the Ultherapy technology in our office for a year and a half, and have never experienced asymmetry when Ultherapy is used in conjunction with Botox. There are also a couple of surgical options that we perform in my practice that would be great to treat droopy eyelids, including an endoscopic brow lift and blepharoplasty. What would be right for you would be determined in a complementary consultation.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.5 out of 5 stars 11 reviews

Try Fraxel re:pair

+1

Although currently there is a shallow tip available for the Ulthera machien that treats at 1.5mm deep, I still feel that this is too deep for treatment of the eyelid and as such, this treatment could be dangerous. I believe Frael re:pair is much more effective to address looseness and wrinkling on upper and lower eyelids.

Cameron Rokhsar, MD
New York Dermatologic Surgeon
4.5 out of 5 stars 31 reviews

Ultherapy of the forehead can cause an upper eyelid lift

+1

Although Ultherapy can help lift the forehead, and with that the eyebrow and upper eyelid, it usually doesn't elevate so much to make people look strange as you're concerned, nor asymmetric, but I don't think it would lift your upper eyelids as much as you would like.  Your crease may be set very low and a plastic or oculoplastic surgeon may be able to reset your levator muscle to help elevate the crease in the upper eyelid. But if you're sold against surgery, then Ulthera is a reasonable approach, along with continued botox of the glabella of significant units to help lift along with treatment of the tail of the eyebrow area to lift that area, and even consideration of an off-label use of fillers such as Restylane in the upper eyelid near the eyebrow to help support the upper eyelid. This should only be done by an experienced filler injector, and after discussion of its risks.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 31 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.