Will Sofwave reduce the appearance of broken capillaries as well as hollowing / crepey skin in the under eyes?

Without photos, I can only comment in generalities. A low viscosity, cohesive and malleable HA filler can work well for addressing under eye hollows and tear troughs and creating a smooth transition between the upper cheek and lower lid regions. Additionally, the use of microtox droplets of Botox either used alone or in combination with a series of superficial peels can work well to smooth crepey skin there. Both treatments can be done in the same treatment session or in separate sessions, if so desired. Broken capillaries can be simply and easily treated by light electrodessication, a time-honored approach that has a proven track record for safety and efficacy..
On the other hand, some venues may suggest to you the use of some type of "next big thing" energy-based gizmo, such as the kind cited in the question. Unfortunately, the hard science to support the use of expensive "bells and whistles," as well as for most of the other hyped fraxel laser and energy-based devices, like the high frequency sound waves (mentioned in the question), lags woefully behind the heavy marketing, advertising and social media hype to promote them. In a recent article in The Skin Cancer Foundation journal entitled the "The Dangers of Doctor Google," the authors stated, " there's also plenty of questionable and inaccurate info floating around out there. Even facts can be presented in a misleading way." The article went on to say "The unregulated nature of social media means users can be vulnerable to unsubstantiated claims--there are no editors fact-checking posted content." In another recent article , in the Journal of Drugs In Dermatology, entitled "HashtagLaser Surgery: How Lasers are Portrayed on Instagram," the authors commented, "...social media posts are unstandardized and carry a high risk of misinformation." and further went on to say, "....laser safety considerations and laser-induced complications were only discussed in a minority of posts..." So, buyer beware when evaluating the any supposedly "next big thing" device out there. Hope this helps.

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

Thanks for your question. Sofwave will not have any impact on broken capillaries, those would need to be addressed with laser or intense pulsed light. Sofwave is however an excellent choice for improving crepey skin under the eyes. It is entirely non invasive and has little to no downtime- around the eyes you can see puffiness for a few days afterward. Sofwave is extremely safe- in fact it won a "Safety Award: in the United Kingdom. It has become our most popular treatment for the region you mentioned. Although it does not "fill a hollow", the skin tightening effect tend to improve the appearance of deep tear troughs. most will require two sessions which can be done 6 or more weeks apart. I hope that's helpful!