I would not recommend Botox or thermage for the undereye bags. Depending upon anatomy and goals, filler or some form of lower blepharoplasty can help the area in question. Kenneth Hughes, MD Los Angeles, CA

Botox and/or Thermage are a waste of time and money for bags or wrinkles under the eyes. Seek a hands on examination by an experienced surgeon to evaluate whether you are a good candidate or not for some type of blepharoplasty. Best wishes. Knowledge is power. Luis F. Villar MD FACS

Neither Botox nor Thermage are particularly effective in treating bags or wrinkles under the eyes. Botox can be helpfull for wrinkles in the crows feet area but would weeken the lower lid if placed in the under eye area. Thermage has no effect on the fat that creates the under eye bags. The most effective treatment for under eye bags is removal or re- distribution of the offending orbital fat. This requires surgery. As for Wrinkles, laser or chemical peeling in lighter skin types is likely the most effective.

The only option to remove undereye bags is surgery - lower blepharoplasty. Lower eyelid bags can also be temporarily camouflaged with dermal filler treatments performed by a highly experienced injector. These treatments typically last up to 12 months and need to be repeated if you're happy with the result. Botox will help with Crow's feet but will not improve lower eyelid bags. Thermage will not help with this issue. I hope this information is helpful.Stephen Weber MD, FACSWeber Facial Plastic Surgery

Undereye bags will not respond to anything other than surgery. Thermage can tighten the skin a little but not enough to hide the fat bags and Botox will only make them more prominent.