Does Thermage cause facial fat loss?

I've read that Thermage causes facial fat to dissolve after treatment, such that there are patients who blogged online that they regret having had thermage at all. Their cheeks and undereyes hollowed out.  Is this true?

2 answers to “Does Thermage cause facial fat loss?”

A: Thermage and fat wasting

Steven Wallach, MD

When thermage first came out, it wsa used to tighten the skin. Some clinicians felt that if a little heat is good  then alot of heat is better. This lead to burns and facial soft tissue atrophy.   While it may cause some skin tightening, it is not a miracle worker and does not replace a facelift... more

A: This should be a very rare complication.

George J. Beraka, MD

To tin, We use Thermage to tighten the skin and we have never seen fat atrophy. With Thermage, everything depends on how you do it ( what head?, what grid?, how many passes?, what energy level?).  

Comments

aliu
109 posts
5 Dec 2008

I understand that would be a concerning to read regarding Thermage if you were considering it.  I have read blogs and other people on the internet who have described fat loss after Thermage treatments to their faces.  However, the date on many of these blogs were several years ago when Thermage first came out (about 6 years ago in the US).  Since then Thermage has undergone several upgrades and rennovations to increase safety and efficacy.  The energy used and parameters suggested for the older machines is much different compared to the latest machine, the NXT model.  Having performed/seen/participated with several hundred Thermage procedures I have never seen any evidence of fat loss or fat atrophy.  If a person was completely sedated and no monitoring of the surface skin temperature was performed, it could theoretically be possible to cause fat atrophy.  Again, many procedures are dependent on who performs them.  In my practice, I perform all the Thermage procedures personally and have never had any adverse complications. I hope this helps.

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