70 Year Old Woman Seeking Thermage Advice (photo)

You asked an excellent question.  An in office consultation is the best way to examine the skin laxity and discuss realistic results and expectations.  Thermage will not replace surgery.  However, if you do not want to have surgery, I have had many patients over age 65 who were very satisfied with the results of their Thermage treatments.  It is best to consult a board certified dermatologist to discuss your options and whether a combination of Thermage and injectables versus surgery would meet your expectations.  Best, Dr. Green

Thermage is a radiofrequency device used for facial tightening, primarily of the lower half of the face, to combat the effects of gravity in the aging of the face. You do have some collection of tissue in the jowl area that this therapy would address. This procedure doesn't work for everyone with consistent results. However, there is no good way to distinguish who will from who will not respond to treatment.

In being respectful of how you spend your resources, I would encourage you to consider a fractional CO2 procedure which would address some of the fine lines and pigmentation of the face which result from cumulative sun exposure. This procedure is quite aggressive with 7-10 days of social downtime and bleeding/oozing of the skin. But a better use of financial resources to achieve the best outcome for you.