Botox Brow Lift Vs Thermage for the Eyes?

As I have written in answering a related question, Botox injection just below the eyebrow can create a lifting of the brow by relaxing the muscles that normally pull or hold the brow down.  This so-called "chemical browlift" is most commonly used to lift the outer third of the brow but can be used along its entire length.  From an aesthetic perspective, the brow arch should peak between the middle and outer thirds.  This Botox effect will only last 4-5 months, whereas a surgical browlift should last many years.  Thermage works by tightening skin due to application of high energy waves.  Generally speaking, Thermage has been used more frequently in other areas of the body, not around the eyes or for browlifting, and I don't think the subtle skin tightening would withstand the normal downward muscular pull in that area.  My preference would be for either the Botox treatment or surgery, depending on your degree of brow sagging.

Thermage is not generally very effective for lifting the brows. Botox works as a "chemical brow lift" to improve the brow position slightly. This must be injected in such a way as to not lower the brows, which is easy to do with Botox. For this reason, an expert physician injector is recommended.All the best,

Wow--Botox and Thermage are totally different treatments.
Botox works by turning off the muscles that pull down the brow and cause wrinkles between the brows. By turning off the downward pull of the muscles, the brow elevator muscles work un-opposed and pull the brow up. The produces a "chemical" browlift.
Thermage lifts the brows more superficially by tightening the skin. This "shrinkage" allows the brow to elevate some.

An endoscopic browlift still
represents the gold standard for raising the brow.  Patients frequently look for alternative to avoid surgical
procedures.  Several alternatives
exist when this scenario arises. 
The botox browlift is effective but needs to be
repeated at three to four month intervals.  Most surgeons, would agree that Thermage has a minimal
impact on the brow, is painful and has significant expense.  For this reason, the botox browlift is
a better alternative.

I wouldn't recommend Thermage for the eyes. If you have a heavy or depressed brow then a Botox brow lift or formal surgical brow lift may be better options. See a board certified plastic surgeon in your area.Best,

For a non-surgical browlift, Botox is an excellent option.  Placing a small amount of Botox in the upper lateral orbicularis muscle (around the eye socket) can give a pleasing lift to the tail of the brow. Thermage, and other non-surgical tightening devices/treatments, have some utility in the lower face but not generally in the brow region. In addition, these treatments tend to be more expensive and don't work in all patients.

Obviously, Botox works far more effectively than Thermage. Thermage, which is quite a painful procedure, has a very limited efficacy and does not have a significant, demonstrative long term effect.

Botox is more likely to give you a good result. Thermage results can be too subtle.

These are two quite different techniques for lifting the brow. Botox is an injection used to paralyze downward-pulling muscles of the brow; Thermage involves a device that applies heat to tighten the forehead and thus raise the brow.

These treatments use completely different methods to try to result in a non surgical brow lift.  Thermage uses a radiofrequency unit to try to get the muscles in the forehead to tighten, hence raising the brows.  My guess is that it would be considerably more expensive than a Botox brow lift.  Personally, I have never been impressed with the results of this procedure.  A Botox brow lift may work, but the results are limited in degree and in duration of effect.

First, these two treatments work very differently.

A Botox Browlift works by relaxing the muscle in the upper face that pull downward on the brow. Relaxing these muscles causes the ones that pull upward on the brow to take over resulting in a "Botox brow lift".
Thermage for eyes works by heating and contracting skin tissue causing an upward lift.

These are just basic descriptions of the procedures, but we think if you review the other physicians opinions, you will find an almost universal distaste for Thermage.
Thermage has poor patient satisfaction, produces only marginal results on the lower face and even worse in the eyes and leads to very temporary results for those that do improve. For these reasons, we would definitely recommend Botox (or surgery if you are ready for that) for your eyes. Do yourself a favor and stay away from Thermage.