Can Thread Lift Tighten the Skin Under the Eyes? (photo)

Question

Looking into alternative to surgery as I had quadrilateral blephroplasty in 2007 which made things worse. I had too many complications and had to hide away for 2 years after (swelling, bruising, dry eyes, eye lids not closing while sleeping, weepy eyes, eye bags looked bigger after the surgery etc). My eyes are finally back to normal, but the small bags under my eyes still persist. Have tried fillers already, I dont like the tell tale 'tide' filler leave behind. Help please, anything?

Alexander Golberg, MD, DO · Answer

Treads , especially collagen stimulating threads , can be used use great results to tighten the skin under the eyes . Best results will be seen 3-4 month after the procedure.

Ronald J. Edelson, MD · Answer

I would be curious what was done with your original blepharoplasty.   your eye look fine except for a little lower tid puffiness.  thread lift will not solve anything.   if your lower lids were originally done from inside the eyelid it would explain why you still have noticeable fat pads. Ordinarily I would recommend revision of your lower lids with an external  incision, but given the trouble you had before I would leave things alone.

Elliot M. Heller, MD · Answer

Thread Lift for the lateral brow/temple area may help improve the skin under the eyes as well.

Jordan Jacobs Medical Artistry · Answer

Hello!
I am sorry that you have had bad experiences with surgery and fillers so far. When I look at your eyes, it seems that you would be a candidate for fillers and threads. The reason why fillers didn’t work for you previously is because the filler was misplaced. The old filler should be removed and redone properly. After filling your eyes, threads can be placed 6-8 weeks later to help tighten the skin beneath your eyes further. 
With Love & Gratitude,Jordan Jacobs, RN, CANSOwner/CEOAesthetic Injector

Vishal Patel, BDS, MSc · Answer

From your photographs, I can see a very small and thin amount of swelling. The swelling may become worst with dermal fillers. Likely to improve with simple microneedling with PRP, this would be my primary treatment for mild cases. I find that undereye bags definately improve with mono threads. The number of threads and side of threads wouldd be determined at your consultation. All the best.

Dean P. Kane, MD, FACS · Answer

Dear Pocahantas, Thanks for sharing your photo. Sorry for your past troubles but you seem to have beautifully come out of them. It is difficult on one photo to determine whether the bulging we see is fat or muscle. My guess is muscle as you are smiling and eyelid muscle will bulge or tighten pushing any fat bags back into the orbit. Select your Board Certified Plastic Surgeon carefully if you are considering Threads! The ThreadLifts of the past including Contour Threads and Silhouette InstaLift are barbed and used deep in the fat next to the SMAS. These nor the newest barbed Nova or Eurothreads are for eyelids. My experience is with Dermal EuroThreads. They are as thin as a hair and when "latticed or basket-weaved" will initially provide physical structure to the skin in front of the lower eyelid bulges and as they dissolve over the following 6 months will stimulate collagen formation as they are made of PDO (polydioxane, the same material in common surgical sutures).  They will last over a year. As all injectable options, this technique is not for the casual physician "threader" look for the best and interview. I wish you the best!

Daniel Chang, MSc, MBBS, MRCS · Answer

Dear Pocahantas,
Thank you for your question. I am sorry to hear about your bad experience with bleophroplasty.
Your non surgical options for your undereye include fillers, threadlift and thermage.
Yes thread lift can tighten your skin under the eyes. As the skin here is delicate, we use fine threads which would stimulate neocollagenesis over 3 months, hence firming and tightening your skin.
However, not everyone is suitable. A formal evaluation is needed to discern your skin elasticity, thickness and eyebag volume first. 
From your photos, your best bet is undereye fillers. 
I hope this helps.

Andre Berger, MD · Answer

It is unlikely that threads will improve bulging fat pads or thinning tear trough areas. This can be addressed by other methods medium depth chemical peeling, skin tightening, Ultherapy or lasers if you do not want injectables. Best, Andre Berger, MD

Jacob Freiman, MD, FACS · Answer

Please do yourself a favor and do a great deal of research before choosing a plastic surgeon. Make sure you only go to a BOARD CERTIFIED PLASTIC SURGEON specifically certified by the AMERICAN BOARD OF PLASTIC SURGERY. I constantly see patients who have had complications such as yours after going to someone who has no idea what they are doing. Stay away from gimicks such as the "threadlift" or whatever catchy phrase is used to sell you on a procedure that does not work. You look fine. Don't open yourself to new complications.

Darryl J. Blinski, MD · Answer

No the Thread lift is a waste of time and money. You look great in the posted photo and from your story LEAVE WELL ENOUGH ALONE!

Can Thread Lift Tighten the Skin Under the Eyes? (photo)

Answers (11)