TempSure Envi is an FDA-cleared, noninvasive monopolar radiofrequency (RF) treatment. Primarily used on the face, it can firm skin while minimizing the appearance of forehead lines, frown lines, crow’s feet, and smile lines, for more youthful skin.
This skin tightening treatment works by harnessing RF energy, which heats the dermis. The heat provokes a healing response that regenerates the collagen over the coming months, making skin more plump and smooth.
TempSure Envi is part of CynoSure’s TempSure system, designed to treat various skin concerns on the face and body.
This system also includes Tempsure Firm, an RF energy treatment that can temporarily improve the appearance of cellulite on the abdomen, arms, butt, and thighs.
Pros
Cons
RealSelf Tip: While RF energy is proven to gradually thicken the skin by building collagen, TempSure Firm does not work directly on the fibrous bands, or septae, that are responsible for cellulite dimples, so you may need to incorporate a separate treatment, like Avéli, to fully address your cellulite.
Your price will depend on your provider’s level of experience, their practice location, the size of the treatment area, and the number of treatment sessions you get.Â
During your consultation, ask for an all-in cost quote for your entire treatment plan, and ask if they offer package discounts if you pay for a series up-front.Â
Cosmetic procedures like this one are not covered by health insurance.
You can finance your treatment with CareCredit.
The TempSure Envi photos in our gallery have been shared by the provider who performed the procedure, with the patient's consent.
Here’s what to expect:
Afterward, there should be no visible side effects other than slight redness, which usually subsides quickly.
Some skin-tightening may be noticeable almost immediately after treatment (usually as a result of the heat, circulation boost, and temporary swelling). The benefits will continue to improve in the weeks following treatment, as the natural response of collagen production picks up and your skin undergoes its rebuilding process.
Some reviewers on RealSelf say they noticed positive results, including softer marionette lines and smoother skin around the eyes, after just one TempSure skin tightening session, and a more youthful-looking neck following three treatments—but because TempSure Envi relies on our body’s own regenerative response, individual results can vary greatly.
One RealSelf member, a 44-year-old with jawline laxity, spent $2,400 on a series of three treatments and wasn’t impressed with her results. Another reviewer who didn’t see results 90 days after her third session called TempSure Envi “a complete waste of time and money.”
Your results from TempSure Envi and the new collagen fibers generated are lasting; however, they are still subject to the future effects of the aging process and gravity.Â
While not a substitute for a facelift, radiofrequency treatments like TempSure Envi, when performed early in life, may help put off the need for plastic surgery.
Providers recommend getting maintenance treatments every 6 to 12 months (following your initial series).
TemThe biggest difference between TempSure Envi and Ultherapy is the type of energy in play: TempSure Envi uses radiofrequency, while Ultherapy emits ultrasound waves.Â
The goal of both options is the same—to generate enough heat to spark new collagen production and remodeling in the dermis. However, there are differences in treatment parameters like temperature control, energy output, and depth of treatment, which influence how the procedure feels and how many sessions are needed to see a real difference.Â
When treating the face, some providers even pair TempSure Envi with Ultherapy, alternating energies to address various depths of tissue for a more comprehensive tightening treatment.Â
Ultherapy delivers the energy more deeply in the tissues, so it typically requires local anesthesia. The upside is that patients commonly need only a single session of Ultherapy to get optimal results.Â
TempSure Envi is less intense, more comfortable, and requires a series of treatments.
Another key difference of TempSure Envi is that it’s a multifaceted device, with different handpieces for treating facial wrinkles, skin laxity, cellulite, and even the vaginal wall (with TempSure Vitalia), all via collagen stimulation and remodeling.
A fairer comparison might be TempSure skin tightening vs. Thermage, another RF energy treatment. Thermage has been around for decades and, like Ultherapy, is known for its intensity and discomfort.Â
Still, there are plenty of doctors who swear by its tightening effects, saying it continues to give unparalleled results, despite the many newcomers in this realm.
In a RealSelf Q&A, Chicago plastic surgeon Dr. Laurie Casas says that she uses Ultherapy to lift sagging, lax skin but favors Fraxel lasers to stimulate new collagen in the skin’s surface. “Ultherapy can target three different depths,” Dr. Casas explains: “the dermis (deeper skin), fat + connective tissue (the SMAS), and muscle.”Â
Another benefit is the temperature: Ultherapy “precisely and consistently heats the targeted tissue to 60-70 degrees centigrade, the optimal temperature for contraction and denaturation of collagen.” Thermage and other radiofrequency treatments “only heat the tissues to 40-50 degrees, which is suboptimal for neocollagenesis,” according to Dr. Casas.
Just one word of caution: deeper and hotter isn’t always better, in poorly trained hands.Â
The bottom line: There are numerous skin tightening technologies harnessing these two types of energies. Generally speaking, the ones that require multiple sessions are less powerful and impactful than those promising a one-and-done experience.Â
They’re all expensive, and none can deliver anything close to surgical results, so they’re best reserved for patients with mild laxity and fine lines.Â
A board-certified dermatologist or plastic surgeon—ideally one who offers a range of treatment options—can recommend the one that will work best for you.
Updated July 20, 2023