The Ulthera® procedure involves using Micro-Focused Ultrasound (MFU) to cause lifting of the eyebrows and tightening of the periorbital skin. This is a very safe procedure as it is done under direct ultrasonic visualization of the underlying tissues.

Botulinum toxin is injected intramuscularly into the glabellar complex (frown lines) and orbicularis oculi (crow’s feet) muscle. This improves fine lines and wrinkles around the eyes. Dr Ngiam may also do a lateral brow lift to improve the arch of the ends of the eyebrow in the same treatment setting.

The combination of the above in the same sitting leads to a dramatic rejuvenation of the periorbital region and dark eye circles.