Is Pelleve Worth the Money, or Should I Stick to Botox?

Doctor Answers 10


Hi Daisy,

I have been impressed with the early results of Pelleve treatments.  As it is a relatively new treatment, I cannot give you long term result data.  I have given a few web references below.

Good luck and be well.

Dr. P

Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Botox and Pelleve are different procedures for different things

Although I don't have any experience with Pelleve, I understand that it is a radiofrequency treatment like Thermage. Botox and Dysport are injections that relax hyperactive muscles, like the ones that cause the worry lines between the eyebrows, or crow's feet. RF treatments generally improve skin tone by stimulating new collagen to form, but they aren't effective for wrinkles caused by hyperactive muscles. So it's comparing apples to oranges, and what works best for you depends on your specific condition.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 52 reviews

Pelleve v. Botox

Pelleve and Botox are two different treatments that address different issues.  Pelleve is a radio frequency treatment that reduces wrinkles, tightens sagging and stimulates collagen.  Botox, on the other hand, is a neurotoxin which softens lines caused by the activities of the muscles of facial expression.

Dina D. Strachan, MD
New York Dermatologist
3.3 out of 5 stars 10 reviews

You might also like...

Pelleve and Botox are not interchangable

Botox helps relax muscles decreasing lines that are visible at rest from recurrent muscular contraction such as the "11" of the forehead between the eyebrows, and the crows' feet.  Pelleve induces colllagen production by delivering radiofrequency energy to the dermis which creates heat.  The new collagen helps tighten the area. Pelleve can be used all over the face, but Botox can't. The eyelid skin can be treated at the outer corner for crows feet, but often, not at the lower eyelid, but Pelleve can treat this area.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Botox and Pelleve are 2 totally different procedures and treat different problems

Pelleve and Botox are 2 totally different procedures. Pelleve is a skin tightening machine and does help smooth some wrinkles. The Botox relaxes the muscles so they do not move. We can use Pelleve for the entire face . Botox is most comonly used on the movement wrinkles of the frown crease, eyes and forehead. Botox is also good for neck wrinkles and banding.

Esta Kronberg, MD
Houston Dermatologic Surgeon
5.0 out of 5 stars 29 reviews

Do both Pelleve and Botox!

While Botox will freeze the muscles responsible for dynamic wrinkles (think folding a piece of paper repeatedly and the resulting crease it causes), Pelleve will build new collagen to plump the skin and repair the wrinkle. The combination of the two is the best way to fix the lines you have and prevent new ones.

Z. Paul Lorenc, MD
Manhattan Plastic Surgeon
4.6 out of 5 stars 34 reviews

Botox is the gold standard

Botox is still the gold standard treatment, and can be very effective (both in terms of cost and results) in the hands of a reputable and experienced injector.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 39 reviews

Botox for forehead wrinkles

The first line treatment for forehead wrinkles is Botox (or Dysport). Botox is reliable and time tested. It works well and the satisfaction rate is extremely high. 

I cannot make the same statement for Pelleve or other similar treatments.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Botox vs Radiofrequency

Radiofrequency treatments, such as Pelleve, are a relatively new method of improving the look of fine lines and wrinkles on the face.  It may take more than one session to achieve a similar result to Botox and may end up costing more.  While there are no needles associated with Pelleve, Botox is a more reliable method of relaxing facial lines.  The effects last about the same amount of time, anywhere from 3-6 months.

Corey L. Hartman, MD, FAAD
Birmingham Dermatologic Surgeon
5.0 out of 5 stars 10 reviews

Pelleve is no replacement for BOTOX!

Hi Daisy,

Pelleve is a radiofrequency device from a company called Ellman intended to provide facial tightening. The product safety is cleared by the FDA. This is not quite the same thing as being truly effective. If you look at the website for the device, the before and after pictures are unimpressive. This does not mean you can't have benefit from the treatment. Just recognized that as an early adopter, you may not feel you got your monies worth from the treatment. I would suggest that if the BOTOX is working for you, stay with it.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.