Thermage or Ulthera for Crows Feet?

A combination of Xeomin and customized Ultherapy treatment can help improve this very important cosmetic area of concern. Raffy Karamanoukian, Los Angeles

There are multiple ways of trying to improve crows' feet near the outer eyelids. Botox is the most effective, but in those patients whose lines are so deep that despite botox-inhibition of eyelid muscle function, and preventing their skin from wrinkling during muscle contraction, their lines persist, resurfacing with Fraxel, or Portrait plasma, or radiofrequency devices such as Thermage and Pelleve, and Ultherapy ultrasound may help. These devices won't produce very smooth results as good as Botox in most instances. ultherapy is limited to the tear trough area and can't treat the skin right underneath the eyelids. Pelleve and Thermage can treat this skin, and we have seen some very good results, with Pelleve, especially, and there is no significant pain.                                                                

Ultherapy is FDA-approved for a non-surgical eyebrow lift, because it is able to actually lift and tighten the eyelid skin enough to achieve this indication. Thermage is only FDA- approved for the improvement of fine lines and rhytides.  If you have skin laxity within the orbital rim you may need to combine the procedure with a fractionated CO2 device.  Good luck!