To rdlandress, Hi! Looking at your photo, I don't think Thermage is a good investment for you. I am a big believer in Thermage (see some of my other Thermage answers), but you have to know what it is good for. In general, we have not been impressed with Thermage around the eyes. Thermage tightens... more







109 posts
31 Jan 2009
Hi rdlandress, Of all the body areas treated with Thermage I feel that the eyes and the body seem to have the best results. I'll be the first one to tell my patients that at best Thermage results are subtle but definitely there. But again, in my experience I do feel the best results are on the eyes and body. Judging from your picture you have very minimal skin laxity to begin with on your upper eyes so I'm not sure the difference will be that noticeable. On your lower eyelids (from the photos) there seems to be a component of midface descent (festoon formation) which won't be helped with Thermage on the eyes. Also on your photo there is some herniated orbital fat in your lower lids, most prominently on your medial aspect (near the nose). The best procedure to address your lower eyelids/midface area would probably be a transconjunctival lower eyelid blepharoplasty with a small midface lift through the same incision. This can be done completely "scarless" as there would be no incisions made on the outside of your eyelids at all. The incision can be made on the inner aspect of your eyelid (the wet mucous part) and heals very rapidly and heals very well. I hope this helps!