I am 55 years old and decided to try Thermage after 4 months of facial peels and using various creams. What a difference! I had the procedure 2 months ago and my skin felt tighter immediately. There was a visable reduction in the lines above my upper lip within a few days. Jowls are mostly gone and fine-moderate lines are disappearing.
The procedure is painful. Feels like wasp stings. I received some mild sedation (hydrocodone and ativan) shortly beforehand. My doctor doesn't go for the anesthetic cream, as she wants feedback while doing the procedure. I go to a cosmetic dermatologist who practiced dermatology for several years before limiting her practice to cosmetic dermatology.