What is the difference between a Botox brow lift and Thermage for the eyes?

Hello Bobbi,

As basic overview here are the differences:

Botox : is an injection that works by paralyzing the muscles that pull the brow down. As a result the muscles which lift the brow are unopposed and the brow lifts up. By controlling the amount of Botox injected and by accurately injecting specific muscles, very nice results can be achieved. Typically the wrinkles between the eyebrows are also improved along with the brows. Results last anywhere from 3-6 months.

Thermage: is a device which generates heat (radiofrequncy energy) that tightens the skin by affecting the collagen in the skin above the brow. Results can be subtle and often requires more than one treatment. Thermage tends to work better in younger patients with healthy skin. The satisfaction level with Thermage tends to be low, but in those who it works for the results last longer than Botox.

Of the two I recommend Botox. If you are not against surgery than an endoscopic brow lift or lateral brow lift will give you nice results that will last several years.

Also please note that none of these methods addresses extra skin on the eyelids - that is only treated with blepharoplasty surgery.

Hope this was helpful for you!