Thermage is definitely best around the eyes. Ulthera is not used around the eyes . Thermage is safe around the eyes provided that the user is experienced. Keep in mind that only surgery will remove fat pads though.
Thermage does not remove or melt facial fat. That was reported only rarely in the early days of Thermage around 2002 and 2003. This was due to user error and has not been reported in the last ten or so years. Ulthera has been reported to cause facial fat loss as recently as 2012.
Furthermore, Botox is not a tightening procedure. Therefore it would be totally ineffective for reducing lid laxity
Thermage works very well for skin laxity, around the face, eyelids, and various areas of the body. It is really critical to consult an expert for the best cosmetic results. Best, Dr. Green
I like co2 laser resurfacing to this area first and then follow with Thermage. My patients maintain with thermismooth or venus legacy. All of this is for if you are trying to avoid surgical intervention. Best, Dr. Emer.
Thermage is a radiofrequency machine where as Ulthera is based on ultrasonic energy. Thermage does make a handpiece that is designed specifically for the eyes, Ulthera does not. Both are quiet uncomfortable for patients. A new radiofrequency device called Thermi Smooth makes a device specifically for the eyes and is quite comfortable for the patient. It usually takes 3-4 treatments several weeks apart and the results are very good for most patients.