I had thermage twice under my eyes. The first time I thought it didn't work because the doctor used too low of a setting because I was worried about pain. The second time, it was the highest setting and it really wasn't all that uncomfortable. I thought jeuvederm was more painful. Thermage was like a slight rubberband snap. I am not at all tolerant to pain. Unfortunately I didn't notice any results. I highly recommend the product Athena, 7 minute lift for temporary results (it usually lasts for a night out).