How does the thermage treatment work?

Thermage is typically performed in a doctor's office and may take up to an hour, depending on the size and condition of the treated area. Thermage uses the FDA-approved ThermaCool device to deliver radiofrequency energy to heat collagen, a structural protein located in the deep dermal layers of the skin. Thermage helps build and contract collagen, which in turn tightens the appearance of the skin's surface. The Thermage device cools the skin surface to prevent damage while heating the collagen in the deeper skin layers with energy pulses. Each energy pulse takes two to seven seconds. The entire face may require between 400 and 500 pulses.

The skin tightens during the process and continues to tighten for three to six months afterward. Tightening results in smoother skin and a more youthful appearance. The procedure also stimulates your body's healing process, which produces more natural collagen.

Results may produce a refreshed looking appearance for up to two years. Of course, Thermage does not stop the aging process and results vary among patients. Because of the natural aging process, which reduces the amount of collagen in your skin, another Thermage treatment or an alternative cosmetic procedure may be needed eventually to reap the benefits of a refreshed appearance.

The experience is often described as a deep heating or mild pinching sensation. Discomfort is typically minimal, though you may be given oral pain medication, and a topical anesthetic ointment may be applied before treatment.

Best Candidates for Thermage

Thermage may work best for people who require 1-2 millimeters of tightening, compared with 1 or more centimeters offered in a brow-lift. Good candidates are healthy physically and psychologically. The best candidates are well educated about the procedure and have realistic expectations. Thermage is intended to help you look good for your age, with a refreshed facial appearance, especially around the eyes and forehead.