Forehead and Brow Lift with Thermage or Fraxel

I'm not convinced Thermage does anything but it surely won't substitue for a browlift. Fraxel is for very modest tightening and I think it too is way overrated. A proper browlift requires releasing the attachment of the brow to the orbital rim and this can only be accomplished with an operation. Don't buy snakeoil on this one.

Thermage and Fraxel may smooth the skin and tighten it slightly but in all directions not just up. Therefore little if any lift will be acheived with these approaches. Only a Forehead or Brow surgical lift will make a significant difference. Botox in the crows feet area may raise the outer brow a little bit temporarily (2-3 months).

The best noninvasive approaches to lifting the brow are with botox, and in some cases filler. Botox can create a conservative elevation of the lateral portion of the brow and in some cases is all that is needed. Less talked about but still effective is the use of fillers placed around the brow complex to help elevate the brow. Thermage and other radiofrequency devices have not been proven to be effective or consistent in brow elevation. LASER procedures are also not a good option for brow elevation. Surgery remains the gold standard for brow elevation, especially for patients who are not responders to botox.