Cheeks and jowls before and after Thermage radiofrequency tissue tightening procedure. I thought this patient was a good... candidate because of mild jowls, thinner skin, and laxity in the cheeks that moved freely and easily with lateral pulling. I thin her result is typical of what can be seen after Thermage. This procedure can give nice, mild degrees of tightening, but it does not give the same results as face lifting surgery. The procedure is very safe, well tolerated and has zero downtime. Not every patient achieves such a nice result.