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Lift Sagging Eyelids with Ultrasound

Writer: Michelle ParsonsMichelle Parsons

Are you tired of people telling you you look tired? Especially when you are not? Yes, they are our friends and they are only trying to be helpful and caring, but enough is enough. We may be tired, or we may not be, but no one wants to be told that we look tired. So what is the cause of this alteration in our appearance that makes people concerned enough to point it out to us? Well in this case, the eyes have it.


Tired of being told you look tired?
" I really appreciate you telling me I look tired," said no woman ever.

A recent study published in the journal of Plastic and Reconstructive Surgery found that variations in eyebrow shape, eyelid position, and wrinkles significantly impact how our facial expressions, and subsequent mood, are perceived by others. The study found that it is drooping of the upper eyelid that was the biggest indicator of tiredness. This may be something we all knew intuitively, but now there is proof!


Drooping eyelid diagram
Drooping upper eyelid biggest cause of tired appearance



How does drooping of the upper eyelids and eyebrows occur and what can be done about this?


Eyelids are amazing things. An eyelid is a thin layer of skin that covers and protects the eye. Human eyelids contain a row of eyelashes that protect the eye from dust particles, foreign bodies, and perspiration. Another important function of the eyelid is to regularly spread tears on the surface of the eye to keep it moist. Scientists have shown that the average person blinks 15-20 times per minute. That’s up to 1,200 times per hour and a whopping 28,800 times in a day! So for a very small and thin layer of tissue, that is creased thousands of time a day, eyelids hold up remarkably well! But over time, and with the help of sun exposure and gravity, this damage takes it toll on the resilient eyelid. The eyelid skin thins and loses elasticity or its ability to "snap back" which is referred to as dermatochalasis. Dermatochalasis develops as a part of the normal aging process. Dermatochalasis can be so severe that it blocks your upper visual field. A surgery, known as a blepharoplasty, can be performed to remove this tissue and restore full vision function.

Thinning and loss of elasticity of eyelid skin
Dermatocholasis: thinning and loss of elasticity of eyelid skin

Botox for Brow Lift

Nonsurgical options that are very helpful for addressing drooping eyelids is treating the muscles that pull down the brows with Botox. Botox relaxes these muscles, so that you can no longer frown, which also helps lift the eyebrows slightly. This area is often referred to as the elevens. Sometimes this is a 1 or a 111!


Botox before and after to lift brows
Botox before and after can lift brows

Ultherapy Eyelid Lift

To address the damaged eyelid skin more directly we can use a combination of ultrasound therapy, known as Ultherapy, and collagen induction therapy, known as microneedling. If you were to tug at your actual eyebrow, you may notice a fullness there than can be pulled away. This extra fatty deposit underneath the eyebrow, increases over time. Also the forehead muscles weaken and fat accumulates around the brows, leading to the heavy appearance of our eyebrows.



It is this small deposit of fat underneath the eyebrows that can be targeted with focused ultrasound, to eliminate the fat and tighten the eyebrow skin. This eyelid Ultherapy treatment takes about ten minutes, and leaves only mild redness for about 20 minutes. Some people will notice tightening and lifting of the eyebrows and eyelids right away. It is typical to see results in 8 weeks and can be repeated for further results in 12 weeks. Results of eyelid treatment with Ultherapy are permanent. Normal aging and drooping from gravity will continue to work on the eyelids, but can be counteracted with Ultherapy.


Ultherapy eyelid treatment before and after
Ultherapy eyelid treatment

Microneedling Eyelid Skin

Collagen induction therapy with microneedling is another great and permanent way to improve the heaviness, looseness and loss of elasticity of eyelid skin and can be combined with Botox and Ultherapy. Numbing cream is applied to the upper and lower eyelid areas, and mostly you will feel a vibrating sensation for 10 minutes. There will be redness for a few days and you will see results begin within 2 weeks of increased "snap back" of the eyelid skin and decreased thinness and wrinkles!


Microneedling eyelids before and after
Microneedling Eyelids before and after

September 2019 will be our Botox special month, with all botox discounted 20%. Add Ultherapy eyelid tightening treatment for $280 (both eyes) and receive a ZO skin care product of your choice of selected options. Adding Ultherapy eyelid treatments to an anti aging regimen is one of the best procedures that you can do to open and lift tired, heavy appearing eyelids and restore a more youthful appearance and to not appear tired when you are not, or even if you are! I hope you take advantage of this treatment option with free gift this September 2019. Please call to make a free consultation to see if you are a candidate for Ultherapy eyelid lift, and look as good as you feel!


Patient Testimonials

One week after my Ultherapy Treatment, my husband, after being out of town for a couple of days asked me “what’s different about you,” he was staring at my face!  Not having told him about the treatment I innocently said: “what do you mean?” His response was “I am not sure but your face looks different.”  I asked “different good or different bad?” He replied “different good, looks stretched.”  I was surprised that the results were noticed quickly.  I found the treatment to be bearable, certainly wasn’t pain-free, but tolerable.  I was very happy when it was over!  For the past 2 weeks following the treatment, my face has been tender which is a reminder that the treatment is continuing to work!  I would highly recommend it to all!  K.M. – Ocean City, MD.

I had Ultherapy about 4 months ago by Doctor Michelle Parsons everyone looks at me and says “you look so rested.” I would highly recommend this painless procedure. Thank Doctor Parsons and wonderful staff.  – M.R. of Lewes, DE.


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