Thermage Skin Tightening

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facelift procedureThermage is an FDA approved non-invasive treatment employed for skin tightening and face contouring. Thermage skin treatment can be performed on your face, neck, eyes, loose skin on your belly or any other part of the body.

The machine uses radiofrequency (RF) energy to heat the deep layers of your skin, while a cooling spray protects the surface. Thermage stimulates body’s natural renewal process, helps tighten existing collagen and initiates new collagen formation. The method works on sagging or wrinkled skin to improve smoothness, make skin tighter, enhance tone and texture for an overall younger looking appearance.


The treatment does not melt fat, it only works with proteins of the skin tissue (collagen). The results are gradual and natural looking, typically without downtime and complications of a traditional surgery.


As any other procedure, Thermage / Thermacool has its limitations and contradictions. People with loose muscles or thick layers of underlying fat are not good candidates for this procedure. Best performed on people 35-50 years old. Unlike laser-based procedures, Thermage can be performed on patients of any skin type.


Depending on the size of the treatment area procedure can take up to few hours. Effect is reported to last from 6 months to 2 years. The procedure is painful and requires an anesthetic cream, a pain killer and sometimes nerve blocks or IV sedation. Side effects can include redness, swelling, bumps and blisters, which may take few weeks to resolve. Latest protocol suggests more treatments with less power and no extreme discomfort per treatment.


Thermage vs. Titan


Both Thermage and Titan are none surgical treatments and achieve similar results in skin tightening and collagen rebuilding. Professionals continuously discuss the advantages and disadvantages of both methods and consider it to be too early to come up with a clear-cut answer.

Both procedures use energy to penetrate and heat the deep layers of the skin. Thermage is a more painful but more powerful procedure and requires less number of treatments; the collagen production is faster and lasts longer, however it has more complications. The risk of complications with Titan is substantially lower, but the results in most cases are less obvious and take longer to show.


None of those procedures can be compared to face lift surgery, since they only work on the skin tissue, leaving the other face structures untouched.

Thermage vs. Ulthera

The Ulthera belongs to a newer generation of face lifting procedures and stands out from a broad variety of non-invasive anti-aging treatments such as Thermage, Titan, ReFirm and Accent. The depth of the sound wave penetration makes it possible to target the tissue layers that could be previously addressed only by surgery.

Unlike Thermage, which seams disappointing to many doctors and patients, Ulthera is the first device that uses ultrasound technology to address sagginess of face muscles, improves contours of the face and under the chin area, lift eye brows and corners of the mouth.

Advantages of Ulthera vs. Thermage procedure:

  • The ultrasound highly focused acoustic energy penetrates deeper under the skin surface than laser, radio frequency or infrared light waves and therefore tightens multiple layers of the skin.
  • Acoustic imaging enables to evaluate conditions of soft tissue beneath the skin and increase the accuracy of the ultrasound wave impact.
  • Ultrasound technology allows different levels of the skin to be treated simultaneously thus increasing the efficacy of the procedure
  • Ulthera is safe, compatible and complimentary with laser and filler treatments since it affects the underlying structures, which are below the areas treated by laser or fillers
  • The Ultherapy procedure is less painful and is reported to have less side effects