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Can Ultherapy Be Used Directly Under the Eye? Are There Alternatives?

Is ultherapy an effective treatment for under eye wrinkles?

Doctor Answers 10

Ultherapy Can Be Used Directly Under The Eyes

Ultherapy is a quick, non-invasive procedure designed to lift, firm and tighten the skin of the face and neck without surgery. It is commonly used on areas of the face and neck to address sagging of the eyelids, brow, cheeks, chin and jawline. It can also improve marionette lines and folds and a downturned mouth. The whole face may be treated for an overall tighter, more toned appearance, or individual areas may be targeted. This is an ideal solution for individuals with mild to moderate sagging in the face and neck who are not yet ready to undergo more invasive surgical procedures, such as a full facelift or Mid Face Lift.

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Ultherapy treatment for lower eyelid

Ultherapy treatments for tightening and uplifting of the skin maybe be used under eyes the treatment gives improvements to the lower eyelids with notion that the results are subtle but nice. It is safe to treat that area if proper technique is used. Results take 4 to 6 months to notice.


Good luck

Advanced Ultherapy techniques

Newer modalities are being developed with Ulthera to treat thinner areas of skin. Experience is necessary to treat the lid-cheek junction.  We often use Ulthera in combination with Sculptra to treat the delicate areas around the lower eyelids.


Dr. Karamanoukian

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 57 reviews

Ultherapy 1.5mm is perfect for under eye wrinkles and laxity

Ultherapy utilizing 1.5mm transducer is perfect for eyelid laxity and wrinkles without any downtime (unless there is rare incidence of bruising). The alternatives are laser resurfacing and/or hyaluronic acid filler injection; however, specific recomendation should be made in person by your dermatologist or plastic surgeon.

William Ting, MD
Bay Area Dermatologic Surgeon
5.0 out of 5 stars 8 reviews

You can treat outside the orbit

You can treat the area under the eye but not right up to the lower lid. The treatment needs to be kept outside of the orbit of the eye. At this time the most shallow depth Ulthera goes to is 1.5mm which is great for treating the texture under the eyes. Botox is great for preventing under eye wrinkles. 

Theresa M. Jarmuz, MD
Atlanta Facial Plastic Surgeon
5.0 out of 5 stars 1 review

Yes it can

There are protocols available, mainly using transducers the penetrate 3 mm and 1.5 mm below the skin with ultrasound energy, that has been developed for infraorbital region.  We've hand good amount of experience both with 3mm and a newly released 1.5 mm devices. As with any cosmetic therapy, the results vary per patient to patient basis. 

Chang Son, MD
Fort Lee Dermatologist
5.0 out of 5 stars 1 review

Ultherapy for under eye wrinkles

Ultherapy works very well for facial rejuvenation by lifting and they have manufactured a newer smaller transducer but I have not found it very convenient to use in the infraorbital area.  I prefer Thermage and Pelleve for tightening in these areas. Wrinkles can also be treated with Fraxel laser and Portrait Plasma resurfacing but there is downtime with the latter more than the former.  Crows feet, not under th eyelid wrinkles, can be treated well with Botox or Dysport and now Xeomin.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 33 reviews

Ulthera can be effective in the under eye area

I have been using Ulthera treatment for tightening of the lower lids for over a year with good results.  The effect is more a firming of contour than an elimination of wrinkles.  The new 1.5mm transducer is more effective for wrinkle reduction and allows treatment closer to the lid margin.  In patients where wrinkles are the predominant problem, however, skin resurfacing may be a more effective option.

Mark Beaty, MD
Atlanta Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

Can Ultherapy Be Used Directly Under the Eye?

As the eyelids are very thin, in the past, we have been shy about using Ultherapy directly under the eyes.  Recently, a new transducer for the device came out that treats to a depth of 1.5 mm.  With this new transducer, the treatment becomes much safer, especially with the use of an eyeshield.  Expect to pay about $500 for the treatment.    

Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon
4.5 out of 5 stars 8 reviews

Ultherapy works for wrinkles under the eyes

Hi rdh123,

The Ultherapy procedure can be used for the area under the eye, but as of right now we cannot treat lower eyelid skin itself.  This is due to a couple of factors.  The eyelid skin is the thinnest skin of the body (about 1 mm thick) and the transducers that are available to transmit the ultrasound heat under the skin allow for depths of 3.0 mm and 4.5 mm.  Currently, I have been using the 3.0 mm transducer to address some of the lines that develop around the eye.

In the next month or so, a 1.5 mm depth transducer will also be readily available to help address the peri-ocular area so that we can use a combination of the 3.0 mm and 1.5 mm along the bony portion of the orbit to help get rid of some of the wrinkling.  This procedure can also be combined with fillers and/or Botox and sometimes chemical peels to also help augment the affect of the treatment.

However, depending on the severity of wrinkling and protrusion of fat, surgery may be an option as well.  Make sure you see a Board Certified specialist so that they can discuss all of the options with you.


Dr. H

Carlo Honrado, MD, FACS
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 7 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.