To Enhance Eye Thermage Effects, You Should Also Do 'This'

Hello, this is Yonsei Star Dermatology Sinchon. The eye area is not only crucial for first impressions but also where signs of aging appear first and most rapidly. We often hear questions like, "My under-eyes are hollow and my eyelids are starting to sag. Is there a way to improve this naturally without surgery?" To answer directly, if aging has not progressed severely, non-surgical procedures that induce collagen production can help improve elasticity.

The skin around the eyes is known to be about 80% thinner than other areas. This makes it easily damaged by even minor irritation, and accumulated damage leads to rapid aging. As dermal collagen and subcutaneous fat decrease, the skin becomes even thinner, and the surface hollows, leading to fine wrinkles.

Furthermore, the eyes blink countless times a day and are constantly in motion. Due to the repetitive use of muscles and skin, the eye area tends to age faster than other parts of the face, even at the same age.

If aging has already progressed significantly, with deep wrinkles or severe sagging, surgical methods like blepharoplasty may be considered. However, it's important to note that surgery can involve prolonged swelling and results that may feel unnatural.

Conversely, if aging is not severe, non-surgical methods such as lasers or radiofrequency, which allow for an immediate return to daily life and relatively natural improvement, become an option. The differences between the two approaches are summarized in the table below:

To restore elasticity, an approach that induces collagen production is necessary. Radiofrequency elasticity treatments like Eye Thermage work on the basic principle of delivering heat to the dermal layer with radiofrequency current to contract loosened collagen and induce new collagen production.

Through this process, improvements in fine wrinkles around the eyes and reduction in under-eye hollowness are reported. Clinical reports indicate that approximately 4 months after the procedure, over 80% improvement in under-eye, upper-eye, and eyelid sagging and elasticity is observed. Effects typically last up to 6 months, and individual results may vary.

Key features of Eye Thermage are as follows:

• Uses a 0.25cm eye-specific tip that effectively delivers energy to a small area
• Available in two configurations: 225 shots and 450 shots (shot count determined after consultation with a dermatology specialist)
• Generally less painful than regular Thermage
• Performed with genuine products and accurate shots, and a genuine certificate is issued
• Directly performed by a dermatology specialist with extensive Thermage experience

If you have any questions, please feel free to leave them via Eye Thermage Consultation Inquiry.

Dermatology treatments often do not yield satisfactory results with a single procedure alone. The choice of booster treatments combined with the main therapy significantly influences the outcome. The same applies to Eye Thermage.

While it helps with eye wrinkles and eyelid sagging, combining it with additional procedures, depending on the individual's degree of aging and needs, can alter the extent of change. It is advisable to determine the right combination after directly assessing the skin condition.

A common combination involves the Ultrapulse Encore laser, which is classified as a high-spec CO2 laser. By delicately refining only the loosened skin tissue, you can feel a noticeable tightening around the eye area.

Additionally, supplementing the dermal components with skin booster treatments like Eye Rejuran, an eye-specific skin booster, helps manage the thinned surface by increasing skin hydration and elasticity simultaneously.

Beyond this, depending on the degree of aging, skin Botulinum Toxin may be combined for areas with deep wrinkles, or LDM management may be added to refine aged skin structures. If concerns extend beyond the eye area to the entire facial contour, elasticity lifting treatments like Ulthera Prime lifting may also be considered.

Even with the same 'eye area aging,' the causes and progression stages vary from person to person. Before starting, reviewing the following points can make the consultation much smoother:

• Distinguish whether your main concern is fine wrinkles, hollowness, or sagging.
• Recall when your eye makeup started smudging or looking shadowed.
• Organize your history of previous eye area treatments.
• Assess whether you are at a stage to consider surgery or if non-surgical methods are sufficient.

If it's difficult to judge with just the checklist, we recommend reviewing your current condition through Customized Eye Aging Consultation.

Eye area aging is a change that comes quickly to everyone due to the thin and sensitive nature of the skin. Eye Thermage is a procedure that aims to boost elasticity by inducing collagen contraction and production, and satisfaction tends to be higher when combined with appropriate complementary treatments rather than used alone. The important thing is to find the combination that suits your skin condition.

Dr. Sang-Joo Lee, Chief Director (MD, PhD, Yonsei University College of Medicine and Graduate School; Completed Dermatology Residency at Severance Hospital; President of the Korean Society for Dermatology)

Dr. Sang-Joo Lee's Profile

First Published 2023-10-27 / Last Reviewed 2026-06-16

This content is for general information purposes only. Individual responses and effects of procedures may vary. Accurate diagnosis and treatment plans should be determined through consultation with medical professionals.