In-Office Procedures · Treatment
MiBo Thermoflo
MiBo Thermoflo applies continuous, controlled heat to the outer eyelids with ultrasound coupling gel and a gentle massage, softening and mobilizing hardened meibum in evaporative dry eye.
Key points
- A thermoelectric heat pump delivers continuous, controlled heat to the external lids.
- Ultrasound coupling gel allows a gentle therapeutic massage over the glands.
- Heat is absorbed into the tissue to break down hardened lipids in the glands.
- No disposables; a typical course is three treatments about two weeks apart.
What it is
MiBo Thermoflo is a therapeutic device that warms the external eyelids with a thermoelectric handpiece. The MiBo II runs a single set temperature near 108.5 degrees Fahrenheit; the IIx model adds multiple temperature modes and a dual handpiece so both eyes can be treated at once.
How it works
The handpiece delivers continuous, controlled heat through an eyepad coupled to the lid with ultrasound gel. The heat is absorbed into the lid tissue to liquefy inspissated meibum, while light massage mobilizes the secretions, with the goal of restoring a healthier evaporative tear film. Because heat is applied from outside the lid, the manufacturer positions it as a comfortable, no-downtime treatment with no single-use tips to dispose of. MiBo Medical Group product information.
The science and category
External lid warming followed by expression is a recognized approach for evaporative dry eye and meibomian gland dysfunction. Sustained, controlled heat targets the obstruction that drives gland failure, and MiBo sits in that thermal category alongside other in-office warming options. Consistent with TFOS DEWS III management of MGD.
The treatment regimen
MiBo recommends a course of three treatments roughly two weeks apart, with some patients adding a fourth. Many patients then go several months, often around a year, before a refresh, though some return more often for comfort. The eyepad is cleaned between patients, so there are no per-treatment disposables.
Sources: MiBo Medical Group product information; TFOS DEWS III management of MGD.
The manufacturer reports a 95 percent patient satisfaction rate, with patients describing the treatment as a comfortable, spa-like experience with no downtime.
Frequently asked questions
Do you sell MiBo Thermoflo?
The device is manufacturer-direct. We link you to MiBo Medical Group for purchase and training.
How many treatments are typical?
MiBo suggests three treatments about two weeks apart, with some patients adding a fourth. Many go months before a refresh.
Are there disposables?
No single-use tips are required; the eyepad is cleaned between patients.
How does it compare with LipiFlow?
MiBo applies continuous heat from outside the lid with massage. LipiFlow heats the inner lid and adds pulsatile pressure to express the glands. Both target obstructive MGD by different routes.
Is there a bilateral option?
Yes. The IIx model includes a dual handpiece so both eyes can be treated at the same time, cutting treatment time.
