Its difficult to give recommendations without photos. Often we can attempt Botox to lift the brow and Ultherapy to tighten the skin above the brow. You will not get surgical type results, but you may be able to get a subtle lift. Best of luck to you!
Dear Obsidian86:There are many technologies available for skin tightening, including radio-frequency, microfocused ultrasound, and Microneedling with PRP. You do not state your age or whether there are depressions under your eyes as well, but in general, in the decades I have been using these devices, I have found radiofrequency treatments with ThermiSmoooth to be the most effective for tightening skin in this area. Several treatments are performed about a month apart, and there is some immediate improvement as well as continued improvement for 6 months afterward. There is no downtime whatsoever and it is safe in any skin type and quite comfortable to undergo.Microneedling with PRP is sometimes appropriate, especially if there is sun damage as well, and Fillers can be injected if there is a depression or hollow under the eye. Botox is used only if the muscles are overactive in this area. I have not found that Fraxel tightens the skin, although it does help with brown spots and perhaps very fine wrinkles.All the best, Dr. Clark
