The delicate under-eye area is often one of the first places to show signs of aging — from fine lines and puffiness to sagging skin and hollowing. While many patients seek non-invasive treatments to address these concerns, one name that frequently comes up is Ultherapy.
Known as the non-surgical facelift, Ultherapy uses ultrasound energy to lift and tighten skin — but can it be safely and effectively used under the eyes?
Let’s explore what Ultherapy is, how it works, and whether it’s suitable for treating the under-eye region.
What is Ultherapy?
Ultherapy is a non-invasive FDA-approved treatment that uses focused ultrasound energy to stimulate collagen production deep beneath the skin’s surface. It targets the SMAS layer (the same layer tightened in surgical facelifts) without cutting or disrupting the skin’s surface.
Ultherapy is typically used to treat:
- Sagging skin on the face and neck
- Droopy brows
- Jowls and jawline definition
- Loose skin on the décolletage
But over the years, it’s also been safely adapted for use in more delicate areas, like the under-eyes.
Can Ultherapy Be Used Under the Eyes?
Yes — Ultherapy can be used under the eyes, but only when performed by a trained expert with a precise understanding of facial anatomy and energy depth settings.
The treatment is especially effective for:
- Tightening loose, crepey skin under the eyes
- Lifting the upper cheeks, which supports the under-eye region
- Softening fine lines and early wrinkles
- Creating a more open, youthful eye appearance
At Dr. Fazeela Abbasi’s clinic, we often recommend Ultherapy for patients who are starting to notice early aging around the eyes but are not ready (or suitable) for fillers or surgery.
Why Choose Ultherapy for the Under-Eye Area?
Non-Invasive & No Downtime
There are no needles, no cuts, and no downtime. You can resume your normal activities right after the session.
Natural Collagen Stimulation
Ultherapy works by stimulating your body’s natural healing response to rebuild collagen and elastin — making it ideal for patients who prefer natural-looking results.
Safe for Delicate Skin
Unlike lasers, which may not be suitable for thinner or pigmented skin under the eyes, Ultherapy delivers precise energy at controlled depths without harming the surface.
What Does the Procedure Involve?
Before the treatment, the area is cleansed, and a numbing cream may be applied for comfort.
During the session:
- Ultrasound imaging is used to visualize the layers of tissue to ensure energy is delivered exactly where needed.
- The handheld Ultherapy device delivers focused ultrasound pulses to stimulate collagen.
- You may feel a tingling or warming sensation, which is a sign that the collagen-building process has begun.
A typical under-eye session takes 15–30 minutes, and you can immediately return to your daily routine.
When Will You See Results?
Ultherapy results develop gradually as new collagen is produced. While some patients notice a slight improvement within a few weeks, the full lifting and tightening effects appear around 2–3 months post-treatment and can continue to improve for up to 6 months.
How Long Do the Results Last?
The effects of Ultherapy typically last 12 to 18 months, depending on your age, skin quality, and lifestyle. To maintain results, yearly maintenance treatments are often recommended.
Is It Painful?
Discomfort is usually mild to moderate, and most patients tolerate the procedure well. A numbing cream helps minimize any sensitivity in the under-eye area. The sensation may feel like a slight tingle or heat as the energy penetrates the deeper layers of skin.
Is Ultherapy Right for Everyone?
Ultherapy works best for those experiencing mild to moderate skin laxity. Ideal candidates for under-eye treatment include:
- Individuals with crepey or thinning skin under the eyes
- Those noticing early signs of aging around the eye area
- Patients who prefer natural collagen regeneration over injectables or surgery
However, Ultherapy may not be suitable if:
- You have severe eye bags or significant volume loss
- You’re pregnant or have certain medical implants
- Your concerns are better addressed with fillers, PRP, or blepharoplasty
In such cases, we may recommend combination treatments or alternative procedures for best results.
Combining Ultherapy with Other Treatments
At Dr. Fazeela Abbasi’s clinic, we often customize treatment plans that combine Ultherapy with other non-invasive technologies, such as:
- PRP (Platelet-Rich Plasma) for under-eye rejuvenation
- Dermal Fillers to restore lost volume in tear troughs
- Laser Resurfacing for fine lines and skin texture
- Radiofrequency Microneedling for collagen-boosting synergy
Combining Ultherapy with other modalities can give a more complete rejuvenation, especially for patients looking for subtle yet noticeable results.
Final Thoughts
The skin around the eyes is delicate, but that doesn’t mean you need to resort to surgery to lift, tighten, or refresh it. Ultherapy offers a safe, non-invasive, and effective solution to treat early signs of aging in the under-eye area — with natural-looking, long-lasting results.
At Dr. Fazeela Abbasi’s clinic, our approach is always tailored. Whether you’re looking for a gentle lift, smoother texture, or a complete under-eye refresh, we’re here to help you make the safest and most effective choice for your skin.