Thermage is a nonablative radiofrequency (RF) device used for skin rejuvenation. It uses monopolar RF energy to heat the underlying skin and tighten it without damaging the epidermis. It is commonly used for treating rhytids (wrinkles) on the face, including the periorbital region and lower face. It has also shown improvements in cellulite of the buttocks and thigh regions. Thermacool TC is considered an effective and safe alternative for treating mild skin laxity. Food and Drug Administration (FDA) granted clearance in 2006 for the treatment of periorbital rhytids (wrinkles around the eyes) and facial laxity.
Thermal collagen contraction can be applied to the skin for use in aesthetic rejuvenation, restoring skin laxity and aging symptoms. Collagen fibers consist of triple helix strands of protein containing strong hydrogen bonds that deteriorate over the course of several years. The application of thermal energy over a period of time contracts, compresses, and thickens the collagen fibers. An ideal heat of 571C to 611C is adjusted for collagen shrinkage, with a time depending on the type and area of skin applied. The dermal collagen fibers are detected at a depth of 1 to 2 mm for treatment of skin laxity.
Thermage can be used on all skin types and can be effective for treating a variety of areas of the body, including the face, neck, abdomen, and thighs. Thermage radiofrequency treatment can be combined with liposuction to shrink loose skin in the abdomen. By virtue of its noninvasive nature combined with its high safety profile, this complementary use of Thermage and liposuction provides an attractive alternative to surgical procedures for patients who want to treat skin laxity. Thermage for body contouring is part of the ThermaCool ® System, which is FDA cleared for the noninvasive treatment of wrinkles and rhytides. According to Dr Helina She said About Thermage The thermage is for patients with excess fat on the arms, thighs, abdomen or buttocks. “If skin laxity is the only issue, I would use the STC tip instead,” she explained. “What I’ve noticed when contouring with the deep tip is that every patient has noticed a two-inch decrease in measurements either at the waist or hip within two to three weeks of treatment. And that’s with one treatment and no downtime.” Dr. Hillelson’s patients seem just as excited about the new procedure. “I hate to say we have a 100% patient satisfaction rate because it sounds candy-coated, but it has been 95% or greater.”
For most patients, results last at least two years, and some patients receive another treatment between 1½ -2 years after their first procedure to prolong the results. Clinical studies indicate that Thermage can last for several years with annual maintenance sessions.
The number of treatments required may vary depending on the condition of the patient's skin and their aesthetic goals. Some patients may require multiple treatments to achieve their desired results, especially if they want to tighten very lax skin on multiple areas of their body. The treating doctor will determine the course of treatment based on the patient's individual needs.
Thermage is a very safe treatment. It has been FDA-approved for over 20 years and has been used on millions of people worldwide. The most common side effects of Thermage are mild and temporary, such as redness, swelling, and tenderness. These side effects usually resolve within a few days.
Thermage laser treatment is not typically painful. However, you may feel a warm or tingling sensation during the treatment. Some people have also described the feeling as similar to a rubber band snapping against the skin. Thermage devices have a built-in cooling system that helps to protect the skin from the heat. Additionally, many practitioners will use a topical anesthetic cream before treatment to help reduce discomfort.