What is best for droopy eyelids? Matrix RF™ or SmartSkin™ CO2 or Ultherapy®? (Photo)

Ultherapy is a great non-invasive treatment to create a custom brow lift.  The ultrasound energy produced during an Ulthera treatment, precisely and consistently heats the targeted tissue to 60-70 degrees centigrade, which is the optimal temperature for contraction and denaturation of collagen. Other non-invasive devices like, Thermage, are radiofrequency devices which only heat the tissues to 40-50 degrees, which is suboptimal for neocollagenesis.  New collagen production is generated over 2-3 months and often continues for 6 months after the treatment. Full results are visible after 3 to 6 months. It may take 1-3 treatments to receive optimal results. Good Luck!

Ultherapy is a great one time treatment for lifting the brows.  The treatment is relatively quick, taking about 15 to 20 minutes. It does smart a bit with regard to pain, but it is not a lasting pain.  The results are worth it.  The skin may be tender to the touch for a few weeks afterward. If you have had Botox you will need to wait two weeks after your treatment before you can have the procedure performed.  Another treatment that does a nice job with lifting is the Viora Reaction Treatment. It is a radiofrequency treatment that needs to be repeated every 2 weeks for 6 to 8 treatments. 

I find that if you will not perform surgery a combination of 1) skin tightening (thermage, ultherapy, thermismooth)2) lasers (resurfacing, fractional RF)3) fillers (to the eyebrow and temple)do best to treat this area non invasively.Best, Dr. emer.

Radiofrequency laser treatments, regardless of the brand of the brand of the laser, is the current gold standard therapy for tightening/lifting the eyelids.

Based on the photos, I would highly recommend an eyelid tuck (blephoroplasty) it is a simple procedure in which the extra skin on the upper eyelids is removed.  This will work better for you than any skin tightening procedure.