What's Best for Eyelid Rejuv/lift - Eyelid Ulthera Vs Eyelid Thermage Vs Madonna CO Lift?

I'm interested in getting an upper eyelid treatment. I am scheduled for full face/neck Ulthera tomorrow, but feel that if I recieved an eyelid tx, it would be more benificial to the fresh look I am trying to achieve. I am 42, & my eyes always appear puffy & tired. What would be acheived w/tx available? Would Restylne filler make my eyes puffier? or raise my brows?

Doctor Answers 8

What's Best for Eyelid Rejuv/lift?

Thank you for your question. For upper eyelid problems, if there is  loose skin, then CO2 has been very reliable.  If there is fat, and excessive skin, then get the surgery with a Board Certified Plastic Surgeon or (No Suggestions) if they feel you will benefit and are a good candidate. I hope this helps.

Bay Area Dermatologist
3.9 out of 5 stars 12 reviews

What's Best for Eyelid Rejuv/lift - Eyelid Ulthera Vs Eyelid Thermage Vs Madonna CO Lift?

If your eyes appear puffy and tired, it is doubtful that any of the above treatments will work.  These trreatments work by tightening skin.  From your description, loose skin does not sound like your problem.  See an eyelid specialist to give you your best options.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon
4.7 out of 5 stars 16 reviews

Non-invasive treatment for eyelid rejuvenation

It is impossible to make any specific comments without a photo. Restylane can be used in the tear troughs; to elevate the brows, I would recommend an initial trial of Botox. Honestly, I agree with Dr. Kabaker that none of the treatments you are considering will produce significant or lasting results.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 40 reviews

Eyelid Rejuvenation

In order to evaluate for eyelid treatment versus brow treatment you want to take a look at the brow location.  The upper eyelids can appear aged either due to ptosis or descent of the brow or to relaxation and redundancy of the upper eyelid skin. 


The Ulthera can help when a small amount of lift is needed for the brow.  If lifting the brow doesn't create the refreshed appearance you are looking for or the brow is at an adequate position then direct upper eyelid treatment is necessary.  This is often done with the CO2 laser 'Madonna eyelift' for a small amount of skin tightening or surgical excision if more skin tightening is needed. 


Jill Hessler, MD
Palo Alto Facial Plastic Surgeon
5.0 out of 5 stars 26 reviews

Treatment for tired puffy eyelids

Although we have no pictures, your description of your eyelids seems to be such that only blepharoplaties will help. The modalities you are considering should be relatively wothless to improve your eyelid appearance.

Sheldon S. Kabaker, MD FACS
San Francisco Facial Plastic Surgeon
4.4 out of 5 stars 35 reviews

Eyelid surgery is still the mainstay for aging lids

Multiple things happen to the eyelids during aging including excess skin or hooding in upper lids, drooping of the eyebrow and puffiness in the lower lids.  Brow drooping can be treated with browlifting but is commonly approached during early stages with Botox or a lifting treatment like Ulthera or Thermage.  Excess skin within the upper lid itself or bags under the eyes from prolapsing fat in the lower lid can still only be significantly changed with a surgical eyelidplasty procedure.  That being said, recovery is relatively short (5-7 days typically) to return to routine work and socializing.  

Lawrence Bass, MD
New York Plastic Surgeon
5.0 out of 5 stars 10 reviews

Best eyelid treatment

I would need to see your photos or you to give you a proper answer. You need more information than you have before your have anything done. See several experienced surgeons for the best choice for your problem.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Best Eyelid Non-Surgical Rejuvenation Treatment

Hi Christine,

All of the modalities that you mention can help improve upper eyelids.  Ulthera is used on the forehead and eyebrows to give a moderate eyebrow lift (2 to 3 mm).  The CO2 laser is used directly on eyelid skin to tighten the skin.  I have not had any experience with Thermage on eyelids.  It is difficult to advise what would be best for you without examining you or seeing photos.  Good luck and be well.

Dr. P

Encino, CA

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 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.