The treatment begins with a thorough consultation to assess your eye concerns and suitability for Thermage. On the day of the procedure, the skin around the eyes is cleansed, and a special protective eye shield may be placed for safety if treating close to the lash line. A grid or guide is sometimes applied to ensure even energy delivery. Using the Thermage handpiece, your provider delivers RF pulses across the treatment area, each producing a brief heating sensation followed by a cooling effect for comfort.