Ultherapy vs. Thermage for under eye skin laxity and wrinkles in dark skin patients.

Hello and thanks for your question. The under eye area responds best to a combination of treatments including ThermiSmooth, Ultherapy, Lasers, Microneedling, and Botox/Fillers when needed. Sometimes a series of treatments would be needed to achieve optimal results. I would recommend an in-person consultation and evaluation with an experienced physician provider to determine which combination of treatments are most appropriate for you. Best wishes.

Ultherapy can treat the cheek below the tear trough groove but Thermage and ThermiSmooth can treat the skin above the tear trough close to the eyelid. The Ultherapy unit is too bulky to treat near the eye.
The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. If you are experiencing a medical emergency proceed to your nearest emergency room.