Is Thermage CPT Really Better Than Old Thermage?

Yes. There are two main advantages to having a treatment with the Thermage® CPT system over the earlier generation Thermage® systems; superior results and greater patient comfort. The new system was redesigned for enhanced heat distribution and uniformity which increases the volume of tissue reaching therapeutic temperature resulting in a more efficient treatment. Improved patient comfort has been clinically proven and is due to the patented Comfort Pulse Technology™ (a vibrating hand-piece) which essentially ‘distracts’ the brain from feeling pain by disrupting the brain’s neural response. Pain management is no longer an issue.

The new Thermage "Comfort Pulse Technology" is designed to be less painful. It works by creating a vibration that sort of distracts the nerves by occupying them with the vibration impulse instead of the heat impulse. I have tried it and found it to be much more comfortable, but I don't think the end results would be a lot different.

Thermage CPT stands for Comfort Pulse Technology.  It is the latest generation of Thermage machines.  The CPT machine gives more cooling to the surface of the skin while delivering more energy to the skin with each pulse.  The results you see depend in large part on how much energy is delivered to the skin, so the more energy delivered with each pulse (and the more pulses you get) the better your results.  However, without cooling the skin higher energy levels would be painful and could cause burning or other unwanted side effects. The CPT tip also provides vibration which decreases any uncomfortable sensation.  With Thermage CPT you do not need any pain medication, which would otherwise be necessary.