Ultherapy or PRP for eye lids, eyes and fine lines and wrinkles?

Really need to see some photos to make suggestions.From what you describe you may need more than just Ulthera and PRP.  PRP will result in some short term improvements, but for more permanent results you will need other things.  These may include fillers, surgery, laser resurfacing, radiofrequency and others.  

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

Thank you for your question. Ultherapy and PRP can be used in combination, but an in-office consultation is required to determine which treatment is best for you. Be sure to see a skilled and qualified provider. 

Everyone is hopeful that their aging or self-induced skin problems can be taken care of in a chair and not on a surgical table. But from your description, it seems you may only get the outcome you hope for from surgery as well as some tech treatments.Smoking and sun are a mean pair and can cause your skin to become inelastic - leading to more wrinkles than you'd normally get from either sun or smoking alone. Fat displacement that causes bags is generally best remedied with surgery. I'd start with seeing an OculoPlastic Surgeon to get a proper opinion on what can be accomplished with surgery.Non surgical choices are wide and many but can't achieve what surgery can. Here is a list of potential "helpers" that can go along with surgery or for the person who has minimal to moderate problems. Thermage for eyelid tighteningUltherapy for lifting the browRelaxes like Botox or Xeomin for temporarily smoothing out wrinkles and lifting the browFillers for hollows that create dark shadowing and for above the brow to recreate a more 3D contourVarious skin rejuvenation techniques such as laser, Pico Genesis, micro needling or chemical peels

Some cases of sagging upper eyelid skin and lower lid bags are only treated well by surgical blepharoplasty whereas milder cases of skin sagging and crepy loose skin can be treated by Fraxel laser resurfacing.
Ultherapy can not be used directly on eyelid skin and signficant photodamage and smoker's skin damage is not treated effectively by PRP.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. 

Your question is impossible to answer without an in-person exam or at least some pictures to view. Ultherapy and PRP are two totally different treatments which work well when used in combination in the appropriate candidates. One is not a substitute for the other. Based on your description it sounds like you would need more than just those two procedures. I recommend you see an experienced physician provider for an in-person consultation and evaluation. Best wishes.