How is Fractora different from Thermage?

Thermage has no ability to resurface skin, so look at that particular technology as one that provides subtle firming only. Fractora has more capability to affect the epidermis as well as tighten. Fractora employs tiny needles that are inserted into the skin. As to whether or not that would provide the level of resurfacing you wish is dependent upon your skin and the way it has responded to aging or sun damage.Often it is a combination of procedures that can actually give the desired results. There are many options. Ultherapy will tighten structures to provide a lift. Chemical peels, although not as popular or as heavily marketed as the newer technologies, are still a very viable way to achieve firmer and smoother skin.Lasers like Fraxel can step up the collagen production in the skin to increase smoothness and also reduce pigmentation and fine wrinkling.Your personal "skin cocktail" for getting to your desired endpoint in skin rejuvenation will depend on many factors. These factors can include budget, your availability of "downtime", your tolerance for discomfort or recovery, lifestyle habits, ethnicity, medical conditions and medications as well as having realistic expectations.It's wise to see a board certified dermatologist or board certified facial plastic surgeon for an assessment. Many practices have a variety of technological devices and treatment options - the more there is to for a doctor to choose from, the more specific the outcomes can be.

     There is no comparison as fractora can be used for resurfacing and tightening.Kenneth Hughes, MDLos Angeles, CA

Dear Patti 
Thank you for your question. In my experience the Fractora gives far superior tightening to anything that treats on the surface of the skin.
In my humble opinion the only thing better than Fractora is the Facetite but this is seriously invasive  on the face and not for the faint hearted but gives amazing results.
There are 2 main layers of the skin epidermis (superficial layer that stops you leaking all your body fluid) and dermis (deeper thicker layer that holds everything together and provides strength). 
As we age our dermis gets thinner.
Skin tightening by the vast majority of devices is by injuring the dermis thus stimulating it to thicken and therefore tighten.
Fractora is Radiofrequency  (RF) which is a rapidly oscillating electric current that goes into needles that poke directly in to the deep layer of skin (dermis) and fire. This results in the skin tightening. Intensif also works in the same way.
Thermage,  Endymed, pelleve etc all use RF energy through the Surface of the skin. The idea is to try to damage the deeper layer without damaging the top layer too much and they do this in different ways but are broadly similar in the basic principles. I would go for Fractora.
I hope this  helps.
Kind Regards 
Dr Dinesh Maini