Can Eyelid Thermage Make Lid Stretch and Begin to Look Like Ptosis?

Eyelid Thermage question: Can having Thermage on the eyelid several times throughout the years make the lid stretch and begin to look like you have Ptosis?

Doctor Answers 5

Thermage to tighten eyelid skin

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Thermage has FDA approval for eyelid tightening. Since the procedure tightens the skin, it does not create any "stretch".

As with any nonsurgical treatment involving heat, the effectiveness is dependent upon several factors that include age, skin integrity and your body's ability to manufacture collagen as a response to that heat. 

Aging will continue and outside factors can make anyone's eye area skin more wrinkled - sun exposure, allergies or fluid retention come to mind. Persistent fluid retention and the swelling of allergic responses accompanied by rubbing the eyelids can stretch the skin.

A good eye cream, sunglasses and a healthy diet will always work in your favor.

Note: There is additional response to this question by Dr. Brian Biesman (below) which will be very helpful in understanding "ptosis" that is related to aging.


Irvine Dermatologic Surgeon
4.6 out of 5 stars 23 reviews

Thermage for eyelids

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Thermage can tighten and lift the skin but does not cause stretching of the skin.  With aging, droopiness with excessive skin can develop.  Surgery may be an option.

Martie Gidon, MD, FRCPC
Toronto Dermatologist

#Thermage nerve damage

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I have seen permanent nerve damage with Thermage. it usually happens if there was too much energy deposited in the area where the nerves are rather superficial. its best to consult with an ophthalmologist to ensure whether its nerve damage or muscle weakness  

Misbah Khan MD, FAAD, FACMS
New York Dermatologic Surgeon
4.9 out of 5 stars 32 reviews

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Thermage Eyelid

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It should not we've done many Thermage treatments for the eyelid and haver nevr seen ptosis of the eyelid after.

Jhonny Salomon, MD
Miami Plastic Surgeon

Questions about eyelid Thermage

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I developed the Thermage eyelid treatment tip several years ago and have extensive experience with it.  I have not noted worsening of any patients eyelid tissue or skin.  When you refer to "ptosis" you are really referring to drooping of the upper eyelid so that the opening between the upper and lower lids is smaller than it had been.  This is related to a muscle problem within the eyelid and is not likely to be caused by Thermage.  Dermatochalasis refers to redundant or excess eyelid skin.  Both are common changes occurring on the eyelids with aging but neither are known to be associated side effects of Thermage eyelid treatment.

Brian Biesman, MD
Nashville Oculoplastic Surgeon
4.8 out of 5 stars 41 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.