Thermage hype or reality?

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I've had Thermage twice in 2 years. I saw results immediately. I think what really happens is the results are immediate and then they hold for some time. The reason the results only seem to hold is because you're aging and it's tightening at the same time. I think people seem to forget that you are aging at the same time. You have to keep doing it in order to "keep up" with aging. Same goes with fillers, besides aging you re-absorb the stuff too. With Thermage your wallet takes a hit but also you have to sit through the treatment which "depending on the setting" can be painful. I thought the pain was very manageable; however, I think I had an exceptional technician, who kept cool air tube in my hand and I could control where I put it along with her "zapping the crap out of me". You just have to laugh about this. First you pay a whole bunch of money and you're going through a bit of a painful process. Here's the payoff though. My husband, just yesterday, which is two years later, says to me....I don't know why you are spending so much money on that laser honey, "YOU DON'T NEED IT". OK so that's when I knew the money was well spent. If your husband will say you don't need it, you look great, you've spent your money wisely. I'm 46. I started looking like I needed an "emergency facelift" at 42. I've managed to now look about mid 30's with fillers, peels, ipl, and Thermage. I've also done Fraxel. It's money well spent but it's a good amount of money. I want to try Ultherapy, but I hear it's painful, but easier on your wallet, with the possibility of better results. I don't know. I feel lucky so far. I worry if Ultherapy is like the "microwaving" and might ruin all the work I've had done so far. Also, if you go to all this work, you'd better start, eating right, getting lots of sleep, loose weight if you can, take care of your skin, stay out of the sun...do everything else you know will keep you looking young, you can't just party like it's 1999...because you're trying to conserve on your looks. Living hard causes...excellerated aging. Just look what happened to Whitney Houston.

And in the wrong hands, and at the incorrect setting it is devastating. It does melt the fat and collagen in your face. Mine has taken years to look better.

That is why it’s so important to research more than just online ratings. I had it in 2005 and it worked beyond my expectations (was getting deep parenthesis on each side of mouth and did not want to use filler). I used a board certified Dr. in Boise at the time and had no bruising, burns, or melting. Of course we keep aging and my high cheekbones were sliding south so in 2011, I was looking at doing it again but that Dr. had moved on to only Ultherapy. Did it and it helped the laxity, and removed the under eye hollows, and surprisingly dissipated most of the mild rosacea but the cheekbones are still sliding...So now what to do is the issue since the front view looks great and at 54 I am not ready for a face lift - only want to do it once : )

Well you use the BS word, excuses but that's exactly what i think of your review, if it all comes down to good behaviour, taking care of your body etc that's a " contractio in terminis", why needing thermage ???
I can effort it, testimony of that is all the costs i have done out of own pocket to repare the damage thermage has done to me, including complete facelift and regulary fillers because due to thermage all the fat of my face was melted AWAY.
And if you call the reactions of some posters here BS, well i have my idea about the intelligence off people who come in front off cameras, this is my opinion

Hilde: I couldn't agree with you more. And actors aren't that bright for the most part, I live in L.A., trust me.

Thermage has 5 settings and should be on the lowest I the eye area, and those who perform Thermage should not use it on eyelids if you are thin skinned or sensitive. The highest setting uses heat under local anesthesia at max 38-40c ... with a cooling gel that also helps conduct heat to the layers below your skin. Therefore having it applid to delicate upper eyelids is poor technique, not actually the fault of the procedure. Sounds awful... but the actual max setting on the Thermage dial is level 5, most use level 3, and around eyes 1-2. I can handle level 5, mostly just feel it around the neck and jaw line, minor discomfort when done correctly.