With Thermage, how can I determine how many pulses would be good for the face or eyes?

Dr. Irwin
January 4, 2014
Hi Dr Irwin, Love your website! Thank you! My question is about eyelid Thermage. I am considering eyelid Thermage for some early/mild skin laxity on my 40 year old, pale skin. In your 'Thermage Problems' page you advise that the 900 pulse tip should be used for the full face using the vector method. Is this the same for the eyes or is a different, lower pulse tip used? I was discussing Thermage with a clinician who mentioned they use a lower pulse tip on the eyes, is this what I should expect? If so, does a lower pulse tip also effect the outcome? I would love to know the right questions to ask (and answers to expect) Thank you

Thank you for writing!  First of all, my bad on the 900 (I miswrote that).  We use 600 pulses on the face and then add 300 for the neck as well so face and neck together would be 900.   The tip for the face and the tip for eyelids are different!  The eyelid tip is smaller because the skin is thinner and the area much less.  It has 225 pulses for each treatment (both eyes) so 125 pulses per eyelid.  The eyelid tip is FDA approved.   

Hope this helps,  Dr. I

Dr. Brandith Irwin, MD

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