Polaris, Thermage, Fraxel, Active Fx for Resurfacing and Under Eye Hollows

Hi Dr Rivkin - I have a few questions that I hope you can answer for me.

I am 46 year old female and I have very good skin due to my armenian
heritage, living in Seattle for the past 20 years (although I grew up in California and spent many days on the beach with baby oil on my face) and taking good care of my skin. I am told I look like I'm in my early 30's.

Now for the questions: Two years ago I had a series of 6 polaris treatments on my face and jaw line and two follow ups since then. I am moderately pleased with the results - my skin does look good. But I have also had foto-facials, thermage tip for the under eye and radiesse for my upper cheek area. I am in need of an update polaris - should I consider thermage instead for tightening, fraxel laser (is the downtown really two weeks for fraxel) and I am starting to get some hollowness under my eye area and fine lines - should I try a filler like restalyne or juvederm for under eye area?

Thanks - I'm trying to keep up the anit-aging regime for as long as possible with out under going the knife!!

Laura



hi laura,
don't know much about polaris - i chose thermage for skin tightening. i think that the combination of thermage and fraxel is a good one for rejuvenation and skin tightening.
restylane is good for under eye hollows, but not so much for wrinkles under the eyes. if you have that, i would suggest substituting fraxel for active fx - the skin tightening is better with active fx. it also works under the eyes, unlike fraxel.
i would do the active fx first and then do the filler after. i do not think that polaris or thermage or anything else for that matter, does a good job under the eyes.
hope that helps