Under eye wrinkles - no results after Ultherapy and Botox. What else could I try? (Photo)

A couple of options to consider are fillers to improve overall contour of the under eye and Morpheus8. This treatment combines RF technology with microneedling to improve overall skin tone and texture. It is safe to use around the eyes. Treatment is done in the office with optimal results after three treatments. See my website or a provider near you to learn more.

Based on your photos I think you may benefit from additional volume in the undereye area. If you're hesitant about surgery, you could try a hyaluronic acid filler first to reduce the depression and hollowness along your lower lids and cheek junction. You do have some peri-orbital wrinkles (crow's feet) as well that would benefit from continuing on with your Botox treatments.

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon