What Ultherapy is and how it treats the eye area
Ultherapy converges ultrasound beams at a chosen depth, raising the temperature at each focal point to about 60 to 70°C while the skin surface is left intact. Separate transducers treat at depths of 1.5, 3.0 and 4.5 mm, and the built-in ultrasound image shows the operator the skin, fat, muscle layer and bone, so that the depth can be confirmed before each line is delivered. The heat contracts collagen at each point, and new collagen forms over the following 2 to 3 months. Ultherapy PRIME, the newer console, was cleared in the United States in February 2024.
- Brow and forehead Lines of treatment above the brow lift it slightly and draw up the skin of the upper lid. Brow lifting is Ultherapy’s only cleared use in the eye area.
- Under the eye Current instructions place treatment on the cheek below the bony rim of the eye socket, not on the lower lid.
- The eyelids The eyelids are not treated, because the manufacturer’s instructions advise avoiding the eyes, the eyelids and the area within the orbital rim.
Ultherapy brow lift for hooded eyes
- EvidenceEvidence for brow lift, Grade B. A mean brow lift of 1.7 mm at 90 days was measured in a rater-blinded study of 35 patients treated on the forehead, temples, cheeks, under the chin and on the neck.
- Asian patients A study of 25 Asian patients given full-face and neck treatment measured a brow lift of 0.47 mm at 90 days, which had returned to baseline by six months.
- Hooding, Grade C (indirect) A raised brow reduces hooding only indirectly, by drawing up the lid skin, and no study has measured Ultherapy’s effect on the hooded lid itself. The brow figures above come from full-face and neck treatment rather than from a brow-only session.
Ultherapy suits mild hooding caused partly by a low brow. Loose lid skin responds better to a treatment applied to the lid itself, such as Thermage Eyes, and skin resting on the lashes usually requires upper blepharoplasty.
Ultherapy under eyes and for eye bags
- EvidenceEvidence for under-eye skin, Grade C. The only lower-lid study, published in 2014, treated seven patients on the lower lid itself to tighten the eye muscle and the septum, the sheet of tissue that holds the fat in place. Computed tomography scans measured a change of about 0.5 mm in the bulge of the septum, and no adverse events occurred. With a sample of seven, the finding is preliminary, and direct lid treatment is no longer the labelled approach because current instructions advise against treatment within the orbital rim.
- EvidenceEvidence for eye bags, Grade D. No study has measured a reduction in eye-bag fat after Ultherapy, and treatment placed below the rim does not reach the fat pads, which lie within the orbital rim.
The options with evidence for fat-type bags are compared on Eye bag removal in Singapore, and those for crepey under-eye skin on Sagging skin under eyes treatment.
Ultherapy eyes before and after results timeline
- Immediately Little visible change occurs, although the skin may be red and swollen for a few hours.
- 2 to 3 months The measured brow lift appears as new collagen forms, and the 1.7 mm figure was recorded at 90 days.
- 6 months In Asian patients the brow had returned to baseline by six months, although face and neck studies report improvement lasting up to one year.
- 12 to 18 months A repeat session is usually given at this point.
Ultherapy eye price in Singapore (2026)
| Area | 2026 Singapore price | Usual number of lines |
|---|---|---|
| Brow and forehead (brow lift) | S$400 to 960 | 100 to 200 |
| Under-eye or eye area | S$420 to 1,200 | About 100, up to 300 for the whole eye area |
| Brow, forehead and under-eye together | From S$1,440 | Up to 250 |
| Full face | S$1,800 to 3,700 | 500 to 800 |
Ultherapy is priced by lines, the rows of ultrasound pulses delivered, so two quotes can be compared only when both state the line count. Some prices exclude GST.
Ultherapy eye procedure, pain and downtime
- Treatment The operator checks the ultrasound image, sets the depth and delivers each line of pulses, each of which produces a deep, prickling heat.
- Pain Pain averaged about 5 out of 10 across 785 patients pooled in a 2025 meta-analysis, and numbing cream or oral pain relief is commonly used.
- Downtime None to one day, although the skin can feel tender or numb for a few days.
- Sessions One, repeated every 12 to 18 months.
Ultherapy eye side effects and safety
- Common Redness, swelling, tenderness, welts and occasional bruising, which resolve within days.
- Nerves Temporary numbness or weakness has been reported where the heat irritates a nerve.
- The eye Case reports describe permanent corneal scarring, cataract, and iris and lens damage after focused-ultrasound treatment on or near the eyelids, mostly performed without eye shields. These injuries are rare, but the thin eyelid allows focused energy to reach the cornea and lens, and treatment therefore stays outside the orbital rim.
Ultherapy vs Thermage Eyes, HIFU and Botox brow lift for the eyes
| Ultherapy | Thermage Eyes | HIFU | Botox brow lift | |
|---|---|---|---|---|
| Where it acts | Brow, and below the bony rim | Upper and lower lid skin | Lid and eye area, with an eye cartridge | Muscles that pull the brow down |
| Evidence, eye area | B (brow), C (under-eye) | B | C | B |
| Lasts | Up to about a year | Studied to 6 months, repeated every 1 to 2 years | Not studied beyond 12 weeks | 3 to 4 months |
| 2026 Singapore price | S$400 to 1,200 | S$1,200 to 3,000 | S$300 to 800 | S$200 to 600 |
Ultherapy and Botox brow lift both raise the brow with Grade B evidence. Botox lasts 3 to 4 months at a lower price per session. Face and neck improvement after Ultherapy lasts up to about a year, although in Asian patients the brow returned to baseline by six months. Thermage Eyes is the option with Grade B evidence on the lid skin itself. Ultherapy is compared with generic focused-ultrasound devices in Ultherapy vs HIFU and with radiofrequency in Thermage vs Ultherapy.
Frequently asked questions about Ultherapy for the eyes
Can Ultherapy be used under the eyes?
Ultherapy can be used below the bony rim of the eye socket, but not on the lower lid itself, because the manufacturer advises against treatment within the orbital rim. The only lower-lid study, from 2014, treated seven patients on the lid itself (Grade C).
Does Ultherapy remove eye bags?
Ultherapy does not remove eye bags. No study has shown a reduction in eye-bag fat (Grade D), and treatment placed below the rim does not reach the fat pads, which lie within the orbital rim.
How much is Ultherapy for the eyes in Singapore?
In Singapore in 2026, a brow and forehead session costs about S$400 to 960 and an under-eye or eye-area session S$420 to 1,200, depending on the number of lines.
How long does an Ultherapy brow lift last?
An Ultherapy brow lift appears over 2 to 3 months. In one study of Asian patients the brow had returned to baseline by six months, although clinics usually repeat treatment every 12 to 18 months.
Is Ultherapy safe around the eyes?
Ultherapy is used around the eyes but not on them. Rare but serious eye injuries have been reported after focused ultrasound near the eye, and treatment therefore stays outside the orbital rim.
General information, not medical advice. A registered medical practitioner should be consulted before any treatment. Dark Eye Circles Singapore does not sell treatments.
Sources and price references (checked 8 October 2026)
- US FDA. De Novo DEN080006, Ulthera System, lift the eyebrow (2009); 510(k) K121700, submental and neck (2012); K134032, décolleté lines (2014); K233996, Ultherapy PRIME (2024)
- Merz Aesthetics. Ultherapy PRIME Instructions for Use, 2025 — avoid “eyes, eyelids, and within the orbital rim”
- Alam M, et al. Ultrasound tightening of facial and neck skin: a rater-blinded prospective cohort study. J Am Acad Dermatol. 2010;62(2):262–269. doi:10.1016/j.jaad.2009.06.039 (PMID 20115948) — Rater-blinded cohort, 35 patients, mean brow lift 1.7 mm at 90 days
- Lu PH, et al. Quantitative Analysis of Face and Neck Skin Tightening by Microfocused Ultrasound With Visualization in Asians. Dermatol Surg. 2017;43(11):1332–1338. doi:10.1097/DSS.0000000000001181 (PMID 28945618) — 25 Asian patients, full face and neck; brow +0.47 mm at 90 days, back to baseline at 180 days
- Pak CS, et al. Safety and efficacy of Ulthera in the rejuvenation of aging lower eyelids: a pivotal clinical trial. Aesthetic Plast Surg. 2014;38(5):861–868. doi:10.1007/s00266-014-0383-6 (PMID 25099495) — 7 patients, lower lid treated directly with 1.5 and 3.0 mm transducers; CT septal change about 0.5 mm; no adverse events
- Amiri M, et al. Microfocused Ultrasound With Visualization (MFU-V) Effectiveness and Safety: A Systematic Review and Meta-Analysis. Aesthet Surg J. 2025;45(3):NP86–NP94. doi:10.1093/asj/sjae228 (PMID 39540440) — 42 studies; 89% investigator-rated improvement; pooled pain 4.85 out of 10
- Contini M, et al. A Systematic Review of the Efficacy of Microfocused Ultrasound for Facial Skin Tightening. Int J Environ Res Public Health. 2023;20(2):1522. doi:10.3390/ijerph20021522 (PMID 36674277) — 16 studies; improvement reported up to one year
- Marr K, et al. Transient Nerve Damage After Microfocused Ultrasound With Visualization. Dermatol Surg. 2017;43(6):894–896. doi:10.1097/DSS.0000000000001032 (PMID 28498208)
- Liu J, et al. Micro-Focused Ultrasound Treatment for Periocular Skin Leading to Corneal Leukoma With Iridocyclitis: A Case Report. J Cosmet Dermatol. 2025;24(12):e70601. doi:10.1111/jocd.70601 (PMID 41367308) — Ultraformer III, 2.0 mm probe on the upper lid without eye shields; permanent corneal scar
- Roditi E, et al. Cataract induced by eyelid cosmetic treatment with intense focused ultrasound. J Cataract Refract Surg. 2020;46(12):e27–e29. doi:10.1097/j.jcrs.0000000000000357 (PMID 32818362) — Cataract within days, lens surgery required
- Marafon SB, et al. Cornea opacity, uveitis with iris atrophy and lens damage following cosmetic high-intensity ultrasound of the eyelid: a case report. BMC Ophthalmol. 2023;23(1):230. doi:10.1186/s12886-023-02947-9 (PMID 37217891)
- Ultherapy price: Halley Medical Aesthetics — under-eye S$420; upper face (forehead, brow lift, crow’s feet) S$690, before GST (checked 2026-10-07)
- Ultherapy price: SL Aesthetic Clinic — under-eye (up to 100 lines) from S$720; forehead and brow lift (up to 150) from S$960; forehead, brows and under-eye (up to 250) from S$1,440; full face up to 600 lines from S$2,400 (checked 2026-10-08)
- Ultherapy price: Ozhean Zoey — eye area (100–300 lines) S$400–1,200; brow lift and forehead (100–200 lines) S$400–800; full face (PRIME) from S$1,800 (checked 2026-10-08)
- Ultherapy price: Halley Medical Aesthetics — full facelift with upper neck (500 lines) S$2,900; 800 lines S$3,700 (checked 2026-10-08)
Eye Bags in Singapore: this series
Treatment reviews for eye bags:
- 4D Eye Bag Removal Singapore
- AGNES + Secret RF Eye Bag Removal Singapore
- Emface Eyes Singapore
- HIFU for Eyes Singapore
- Pinch Blepharoplasty Singapore
- Scarless Eye Bag Removal Singapore
- Thermage Eyes Singapore
Comparisons for eye bags:

