Loose, crepey skin around and under eyes - Can Ultherapy help? (photos)

Question

I have loose, crepey skin under and around my eyes. It looks OK at rest, but when I smile it all scrunches up and ages me. I’m looking into getting Fraxel when I can afford the cosmetic downtime, but I’m wondering if Ultherapy would help at all. From what I understand, Ultherapy is performed just outside of my problem areas, but I’m wondering if the lax skin would get cinched up a bit if the surrounding skin were to tighten up.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Julia Ann Sullivan Miller, MD · Answer

Based on your photo I would recommend a combination treatment of Ultherapy to help tighten the skin, Botox to help relax the muscles causing the crows feet wrinkles, and microneedling to help stimulate collagen in the skin.  You should make an appointment with a doctor who has experience treating this type of issue.

Muhammad Mirza, MD (license suspended) · Answer

Thank you for your question.  Ultherapy would be a great option coupled with some Kybella as well.  It is always recommended to schedule an appointment with an experienced doctor to for best results.  Best Regards!

Jason Emer, MD · Answer

A combination approach would give the most improvement with Ultherapy for skin tightening. I recommend Ultherapy with radiofrequency treatments, lasers, microneedling/PRP, and/or Sculptra to get increased collagen, tightening and improved skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Michael A. Zadeh, MD, FACS · Answer

Thank you for your question and pictures. I don't think Ultherapy alone will adequately treat your concerns. However, a combination of Ultherapy, Laser resurfacing, Radiofrequency treatments and Botox to your crow's feet area should provide significant improvement. Make sure you see an experienced physician for an in-person consultation and examination. Best wishes.

Robert Heck, MD, FACS · Answer

Although Ultherapy can treat under the eyes I would not expect it to smooth out your problem area like a laser can. This delicate skin is a tough area. I think it all depends on your  expectations. I would not however, based on our experience with ultherapy that it would be better than laser and is often more expensive. Best of luck.

Monica Bonakdar, MD · Answer

Thank you for your question and photo.  I think you are a great candidate for a combination approach of Ultherapy and a neurotoxin like Botox or Jeuveau in the crows feet. Your neurotoxin will relax the muscles that are causing the crow’s feet where as Ultherapy will give you skin tightening and improved the skin laxity around your eyes. With the right dose, this treatment will need to be repeated every 3 to 4 weeks. Ultherapy is the only non-invasive, non-surgical treatment approved by the FDA for LIFTING the skin of the face, neck and body.  Over one million Ultherapy procedures have been done worldwide.  The Bonakdar Institute has been doing Ultherapy treatments since 2010 and we do them daily.  Ultherapy is the only nonsurgical treatment that uses ultrasound energy.  Ultrasound is used to visualize below the skin surface.  After visualization there is ultrasound delivery of heat to 3 different tissue levels.  These are the deep tissues that are targeted during a surgical facelift.  Ultherapy results in Neocollagenesis which is gradually creation of new collagen.  This improves your skin from the inside out without disrupting the surface of your skin.  The number of treatments depends on the age of the patient, their skin condition, and the results desired.  Most clients start with one treatment initially which they may repeat in 6-24 months.  Comfort management techniques are used during the treatment to make the patient experience as pleasant as possible.  There is no pain after the treatment is complete.  There can be some lifting and tightening immediately following the treatment.  Full results occur gradually over the course of three to six months.  This treatment is not like injectable treatments with a finite life span.  Each treatment will help to lift and tighten the skin.  It is like increasing the balance in your collagen bank.  However, aging continues the minute the treatment is over.  The bank is continuously being depleted.  The patient’s commitment to maintenance determines how long the results last.  Post treatment, the skin may be a little red for a few hours.  The skin will feel sore to touch after treatment for the next week.  Swelling and soreness mean inflammation which means the treatment is working.  Make sure you consult with an experience provider in your area before undergoing an Ultherapy or injectable filler treatment.  When injected incorrectly,  filler under the eyes can cause permanent blindness.  I would book a consultation with an experienced provider in your area.
Wishing you happiness on your aesthetic journey,
  
Monica Bonakdar MD

Loose, crepey skin around and under eyes - Can Ultherapy help? (photos)

Answers (7)

More Ultherapy Questions

WE SEND PRETTY
EMAILS

Answers (7)

More Ultherapy Questions

Ultherapy Vs. Morpheus8. Which is better?

Can Ultherapy be done after Aptos threads?

1 day post-op Ultherapy has left many superficial burn lines. Advice? (photos)

Which option below will provide long term results that is financially responsible? (photos)

Can Exellis or Ultherapy or any “tightening” device be used on a nose that has gotten bigger with age?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS