10/23/2026
This is a procedure note for Undereye Thread Lift vs. Tenstherma: Which is the better choice? Differences by purpose. at Gyeonggi Anyang Beomgye KKEUT Korean Clinic.
It is not uncommon for people to consider thread lifting for issues like sunken or sagging under-eyes, and to also explore treatments like TenTherma.
While both treatments fall under the broad category of 'lifting', they differ in their specific objectives and approaches.
We do not perform thread lifting procedures, but we do operate TenTherma, a high-frequency lifting device. Based on this experience, we would like to guide you through the differences in the objectives of these two treatments.

Primary Purpose of Thread Lifting
Thread lifting is a procedure that involves inserting medical threads into skin tissue to physically support sagging areas.
When applied to the under-eye area, the core principle is to directly support the structure of the sagging tissue.
The skin under the eyes is thin and subject to a lot of movement, making it important to carefully examine the condition of this area before determining the intensity and depth of the procedure.
Therefore, the suitability of the procedure and the specific method may vary depending on the thickness and overall condition of the under-eye skin, as well as the professional judgment of the medical staff.
If thread lifting appropriately matches the patient's concerns, it is a treatment from which good results can certainly be expected, and there is no need to debate its superiority or inferiority compared to TenTherma.

Primary Purpose of TenTherma
TenTherma is one of several lifting devices that utilize high-frequency energy, alongside Oligio, Volnewmer, and Densitty.
This procedure works by delivering high-frequency thermal energy to the dermis and subcutaneous layers of the skin, stimulating collagen and aiding regeneration.
Unlike methods that physically insert external materials for support, it is closer to inducing the skin tissue itself to respond and improve.
Therefore, TenTherma focuses on improving the overall elasticity and superficial skin condition, such as skin texture, rather than directly altering specific under-eye structures.
Since it targets different layers than Ulthera, which acts on deeper skin layers, many people consider both treatments together.

Comparing the Objectives of the Two Procedures
Thread lifting supports sagging tissue, while TenTherma focuses on improving the quality of the skin itself.
If a specific structure, such as sunken or sagging under-eyes, is the primary concern, thread lifting may be more suitable for that issue.
On the other hand, if the concern is a feeling of reduced elasticity and skin texture due to thinning skin around the eyes, TenTherma might be a better fit for the desired outcome.
Even if under-eye concerns appear similar, their causes can vary for each individual, so it's important to identify the exact cause before deciding which treatment to receive.
In other words, these two treatments are not substitutes for each other but rather complementary, with the choice depending on the specific characteristics of the patient's concerns.

Points to Consider Before Consultation
First, it's good to consider whether the area you most want to improve is the hollow or sagging appearance under the eyes, or the feeling of thinning and rough skin.
Second, determine if your concern is focused solely on the under-eye area, or if overall facial elasticity reduction is also something you are concerned about.
Third, if you inform us in advance about your plans for returning to daily life after the procedure or your concerns about pain, a more accurate and personalized consultation will be possible.
The appropriate number of TenTherma sessions, frequency, and expected level of pain can vary depending on individual skin conditions, and we will provide detailed guidance during your consultation.

Common Misconceptions
Due to the term 'lifting,' there are cases where people assume that choosing either of the two treatments will yield similar results.
However, the method of physically supporting tissue and the method of inducing skin response with thermal energy fundamentally differ in the process by which they create change.
If under-eye hollowness results from a lack of volume, a volume-filling procedure may be more appropriate, and TenTherma alone cannot entirely fulfill that role.
Conversely, if the primary concern is reduced skin elasticity, a procedure that merely supports the structure might not be sufficient to achieve overall skin quality improvement.
Therefore, rather than choosing based solely on the name of the procedure, it is important to understand the specific objectives of each treatment and make a decision tailored to your concerns.

How Our Medical Institution Uses TenTherma
Before starting the TenTherma procedure, we carefully design a grid pattern on the patient's skin while they are in a seated position.
This grid design helps in planning the treatment to ensure that thermal energy is evenly delivered to the skin and that no specific area is over-exposed or neglected.
Especially since the design is made in a seated position, considering the effects of gravity, we can establish a treatment plan based on how your face naturally appears in everyday life.

Furthermore, we utilize the 'Super Pass Technique' to effectively deliver cumulative thermal energy.
This involves gently passing over the skin multiple times, allowing heat to accumulate gradually in the skin layers, rather than concentrating energy on one spot.

Once the procedure is complete, we prepare a lifting card detailing the treatment and share it with the patient.
This card meticulously records the treated areas and methods, serving as a reference for objectively comparing changes during subsequent consultations and planning future care.
Meticulous planning precedes the procedure. During the procedure, the accumulation of thermal energy is carefully managed, and detailed records are kept afterward to ensure a systematic process.

Frequently Asked Questions
Q. What criteria distinguish under-eye thread lifting from Tenssarma?
A. Under-eye thread lifting aims for structural support of the face. Tenssarma focuses on improving skin elasticity and texture. Our clinic does not perform thread lifting procedures, and consultations are focused on determining whether Tenssarma is suitable for your concerns.
Q. Can I consider Tenssarma after initially considering under-eye thread lifting?
A. Under-eye thread lifting and Tenssarma serve different purposes and are not interchangeable procedures. The appropriate method may vary depending on your individual concerns and skin condition. If you have previously undergone thread lifting, please inform our medical staff during the consultation. We will thoroughly check your current skin condition and advise you on the possibility of treatment.
Q. If I choose Tenssarma instead of under-eye thread lifting, will it resolve under-eye hollowness?
A. It is difficult to consider Tenssarma as a substitute for under-eye thread lifting. Tenssarma is not a procedure that corrects the structure itself, and it primarily focuses on improving skin elasticity and texture. If the cause of under-eye hollowness is a lack of volume, other procedural approaches may be more effective in such cases.
Our Clinic's Philosophy of Care
At our clinic, we consider each patient's individual condition and design a grid pattern while the patient is in a seated position. This helps enhance the precision of the procedure, allowing for satisfactory results post-treatment.
Our clinic applies the 'Super Pass Technique' to maintain consistent accumulated thermal energy delivery during the procedure. This is our effort to enhance the efficiency of the treatment.
At our clinic, after completing the lifting card, we share its contents with the patient. This ensures transparency in the treatment process, promotes procedural safety, and allows for discussion of expected outcomes.
Delicate and Thoughtful Treatment Approach Our clinic strives for natural changes for our patients. Please consult with a specialist to find the most suitable path.
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