Ultherapy or Thermage CPT for hooding of the upper eyelids?

Question

Which treatment is best for the space between the eye lid and brow, for premature hooding in a 32 year old? Do not want peels, Co2 lasers, botox nor fillers (all have been ineffective for hooding)

Michael A. Zadeh, MD, FACS · Answer

Ultherapy can indirectly improve eyelid hooding by lifting the brows. We often use it in combination with ThermiSmooth to provide improvement. Eyelid hooding is a very difficult thing to treat with non-surgical procedures and the results are often subtle. So, don't expect anything too dramatic with non-surgical treatments. If you have a lot of excess skin and hooding then surgery may be the best option for you. Best wishes.

Raffy Karamanoukian, MD, FACS · Answer

You may be an excellent candidate for a blepharoplasty. In our office, we recommend Ultherapy for the eyelids in addition to Clear and Brilliant laser. Best, Dr. Karamanoukian Los Angeles

Richard Baxter, MD · Answer

At 32, hooding of the upper eyelids is more likely an inherited trait rather than sagging skin from aging. Lasers would probably have minimal effect, Botox maybe a short term but also limited effect, fillers no benefit, and both Ultherapy and Thermage probably limited benefit though longer lasting. Ultherapy would be better suited for treating that area. Without an in-person evaluation it is not possible to offer specific advice, but before you spend money on any of these you should make sure that you accept the limitations.

Manjula Jegasothy, MD · Answer

Radiofrequency laser treatments, such as Viora® are the 2016 gold-standard treatment for tightening the eyelids. Please consult a board certified aesthetic dermatologist for a consultation.For more information on radiofrequency technology and the Viora® laser, please visit our website at miamiskininstitute.com

Steven Yarinsky, MD, FACS · Answer

The combination of laser skin smoothing with CO2 laser and Ultherapy will tighten your upper lid skin and raise your brows.  The laser treatment alone may be all you need.  Be sure to consult with a plastic surgeon trained and experienced in both procedures for recommendations for the best and most cost-effective result!

Hratch Karamanoukian, MD, FACS · Answer

Thank you for your question.Ultherapy is FDA cleared to give you a brow lift.Read the Ultherapy ebook on the link below.BestDr. Karamanoukian

Matthew Elias, DO, FAAD · Answer

Thank you for your question.  Thermage is being used for hooding of the eyelids and good results have been reported.  Ultherapy can be used to raise the brow indirectly improving hooding of eyelids.  Combination therapy of the two will likely yield the best results.  Regards, Dr. Matt Elias

Lee P. Laris, DO · Answer

In our office we use a combination of Ultherapy for the forehead above the brow to lift it a little and Thermage to the eyelid itself. Ultherapy isn't approved for eyelid use, but Thermage can be used directly on the lid with a safety contact in place to protect the eye. Look online at "Thermage eye" and you will see the possible results. I've seen fairly predictable results with this combination.

Ultherapy or Thermage CPT for hooding of the upper eyelids?

Answers (8)

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