Can Thermage Help with the Fat Pads Under the Eyes?

It is always difficult to advise a patient about what treatment is best for them without seeing them first but the definitive treatment for the puffiness from fat that you describe is blepharoplasty.  If you're not quite ready for surgery for one reason or another then our next best solution is disguise.  We can help disguise the problem in two ways: 1) Thermage for the skin under the eyes to tighten it as much as possible and produce new collagen to thicken the skin (this will not effect the muscle, which is ultimately what's responsible for holding in/back the fat) 2) Injection of a filler like Restylane to the tear trough and under eye hollows to create a smoother transition from the area of fullness under the eye to the upper cheek.  If we can improve some of the shadowing, the puffiness does not appear as pronounced.

 

Dr. Grant Stevens            

The eyes are the windows to the soul. All too often, however, they seem to reveal exhaustion. The very delicate skin around the eyes tends to get crepey and puffy due to fatigue and stress. An effective non-surgical option that might benefit you is Thermage, which can tighten the skin around the eyes. The new and improved Thermage is a virtually painless, non-invasive (no incision!) treatment that can tighten skin and stimulate your body to make healthier collagen—the building block that provides structure to your skin. Fast and easy, Thermage requires no downtime from normal activities.

Fat pads under the eyes are deep to the muscle and below the effective level of Thermage , This procedure will do nothing for your fat pads . You should save your money and have a lower blepharoplasty  instead.