Thinking on Having Ultherapy Lots of Fine Lines Under my Eyes Do You Think This Will Work for Me?

Doctor Answers 9

Fine lines under the eyes can be treated with the new 1.5 mm Ultherapy transducer

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Fine lines under the eyes can be treated with the new 1.5 mm Ultherapy transducer. Other modalities that can be used in conjunction with Ultherapy in this area would be fractional lasers and Botox. A multimodality approach may be custom tailored to help you achieve the look you are seeking. A consultation with a physician who provides all of the above treatments will help guide optimal treatment and end results. 

Problems Ultherapy Addresses

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A good candidate for Ultherapy is someone with skin that has "relaxed" to the point of looking, and often feeling, less firm. A lowered eyebrow line or sagging skin on the eyelids, for instance, is often the first sign of "maturing" skin. Typically, those in their thirties and older who have mild to moderate skin laxity are candidates. While Ultherapy is not a replacement for a surgical face lift, there are many people who want some lifting but are not ready for surgery, either mentally, financially or logistically. 

Ultherapy can help with fine lines under the eyes

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Ultherapy can help with fine lines under the eyes and does stimulate some collagen by working deep underneath the skin.  It is good for patients who have thin skin and fine lines. However, it does not work like superficial lasers as far as sun related skin damage, but can help thicken the skin and can be helpful in combination with Botox.

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Ulthera can not be used too close to the eyelids but fraxel can

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fine lines repsond well to both fraxel restore and fraxel repair and this can be safely done both on upper and lower eyelids!

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon

Ulthera is an option for under-eye skin

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Ulthera uses micro-focused ultrasound targeted in specific layers under the skin to stimulate collagen remodeling and nonivasive skin lifting. The newer 1.5 millimeter focal depth transducer is working well around the eyes, but it cannot be done in the part of the eyelid that is over the eye. It is one of several options so see a specialist experienced with Ulthera for an assessment of what your results might be.

Ultherapy for under eye lines

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Ultherapy has recently introduced a new transducer that targets to 1.5mm below the skin surface. In combination with the other deeper transducers, using this one does work well for lines under the eyes. It takes about 2-3 months to see final results, and there is never a guarantee that it will work as well as one wants.


There are other options to try (usually in addition to the Ultherapy). I like a bit of botox (1 unit) under each eye to improve lines. I always recommend that you use a good eyecream. It doesn't have to be the most expensive one out there, but the exta moisture is important for the very fine skin around our eyes. Finally, you could consider a fractional CO2 laser treatment. I think that the Lumenis Total FX is the gold standard, and have seen amazing results for treatments around the eyes.

Ultherapy for areas under the eyes

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Thank you for your question, which is a good one.  The quick simple answer (without having a photo) is that Ultherapy is an excellent modality to help improve the appearance of lines under the eyes.  There are several different transducers that reach different depths below the surface of the skin and depending upon the types of lines one can choose one or more of these to maximize the benefit.

Ted Brezel, MD
Long Island Dermatologic Surgeon

Ultherapy is not designed to help the lines of the face underneath the eyes

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Ultherapy's transducers are not designed to fit the space confined to the lower eyelid skin from the eyelashes to the tear trough. Even with the new 1.5 millimeter deep small transducer, the treatment is not safe to treat right over the eye with the very thin skin of the eyelid in between. Ultherapy is a deep ultrasound for skin tightening, specifically the dermis, and does not help reduce fine lines. Laser resurfacing or Portrait plasma is the best for this issue.


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

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Ultherapy and Fine Lines Under Eyes

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Ulthera is not recommended for the fine skin of the lower eyelid.  Wrinkles below the orbital rim, (edge of bone at bottom of lower eyelid), can be treated.  This can be accomplished by pulling down on the lower eyelid during the treatment.  The goal is to tighten skin, reduce wrinkles, but remain perfectly safe without injuring the eye.

Cory Lawler, MD
Melbourne Plastic Surgeon

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.