Do the Thermi treatments hurt, and how much?

I have been reading about Thermi and see they offer a non-invasive treatment that will help tighten the underarm "loose skin". I exercise and eat healthy. Just want to know about the success rate and how much pain patients reported.

Doctor Answers 10

Thermitight and pain

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When performed on the face Thermitight is minimally invasive and has minimal discomfort . The only part patients feel is the initial local anesthetic . Most patients will rate the discomfort a 1 or 2 in terms of pain on a scale of 0-10. There is no post op pain medication needed . Thermi smooth or Thermi 250 is a different application of ThermiRF device system which is non invasive. Thermi 250 can be used for body areas such as loose skin and is tolerated well. Thermismooth is a much smaller application of the system for the face and small areas which is virtually painless 

Washington DC Physician
4.8 out of 5 stars 20 reviews

ThermiTight and Comfort

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There is minimal discomfort with ThermiTight as you are given numbing medication before the treatment is started. It works very well in tightening loose skin in the appropriate candidates. In the underarms it may also help decrease sweating. Please see an experienced physician for an in-person consultation to determine if the treatment is right for you. Hope this helps answer your question!

Michael A. Zadeh, MD, FACS
Sherman Oaks General Surgeon
5.0 out of 5 stars 10 reviews

ThermiTight, ThermiSmooth, ThermiRase, and ThermiVa: What are these treatments and are they painless?

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The ThermiAesthetics company has a bundle of radiofrequency minimally invasive treatments for different areas of the body: ThermiTight for loose skin of the face, abdomen, knees and upper/ underarm for one. Other Thermi treatments utilize RF for smoothing the area under the eyes (ThermiSmooth), ThermiRase for frown lines between the brows, and tightening the inside of the vagina and outer labial area for vaginal rejuvenation (ThermiVa).  

I have these treatments, they all work well, and it sounds like you are most interested in ThermiTight. From patient and staff feedback ThermiTight is certainly tolerable given the results you can get, and involves a tiny radiofrequency probe inserted under the skin of the underarm to tighten it. As long as it isn't severely loose or pendulous skin along the underarms, this is a good option since surgery in this area tends to leave scars that are visible and sometimes problematic.  I would recommend going to a board certified plastic surgeon for these treatments since they are user-dependent (ie: what you are going to get in the result also partly depends upon the technical ability and proficiency of the person performing it). Good luck!

Thermi Radiofrequency

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ThermiRF can be an effective treatment for tightening loose arm skin with very little discomfort during the procedure. Patients can experience tolerable increased warmth, but the temperature is very carefully monitored to ensure safety and effectiveness. My recommendation is to consult with an experienced cosmetic physician to determine if you are a good candidate and which procedure is best for you.

Elyse Rafal, MD
Stony Brook Dermatologist
5.0 out of 5 stars 2 reviews

Do Thermi Treatments Hurt? Thermi Is Easy to Tolerate

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ThermiTight is a well-tolerated procedure. Most patients feel the application of the anesthetic more than they do the treatment itself. Of course, pain thresholds vary by individual, but most people rate the pain as minimal. There are no real side effects, either, other than some temporary soreness, redness or bruising. 

I’ve used ThermiTight to tighten underarm skin successfully. Consulting with a board-certified dermatologist will let you know if this is the procedure that can help you put that finishing touch on your body. 

Douglas Wu, MD
San Diego Dermatologist
4.9 out of 5 stars 53 reviews

ThermiTight/Skin Tightening/High Definition procedures

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Thank you for your question.  I recommend a combination of procedures for optimal results.

ThermiTight utilizes a small electrode inserted under the skin to heat tissue to a selected therapeutic temperature.  Literature has shown that elevating skin to a therapeutic temperature level can contract collagen molecules and stimulate collagen production, which may give the appearance of lifting or tightening.   Fat reduction is rare, unless set to high temperatures and kept at high temperatures for a significant amount of time .

To best answer your question,  it  depends on how much skin laxity you have.   ThermiTight can work well in the thigh area to tighten skin that is mild to moderately laxity.  Surgery may be a better option, if you have excessive laxity.   Results with ThermiTight vary from patient to patient.  You should experience some overall improvement.

The best way to assess and give true advice would be an in-person exam.

Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon



ThermiTight Discomfort Level

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ThermiTight is a procedure using Radiofrequency energy to achieve the results…tightening of the skin.  It involves a needle stick (similar to drawing blood) to allow a probe to administer the energy to the tissues you want treated.  ThermiTight is invasive due to making a break in the skin and is followed by using local anesthesia to numb or anesthetize the area treated.  This is usually such minor discomfort that patient’s choice is no other anesthesia or sedation desirable.  By adjusting the settings, small localizations of fatty tissue can be lessened, irregular contours can be improved and most importantly the skin will tighten with less sagging.  This is intended for people who need tightening without a true need for removal of excess skin.  

Dean L. Johnston, MD
Orlando Plastic Surgeon

Pain and success

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Thank you for your questions.  The treatment itself is not painful as the area is numbed prior to treatment.  The numbing process is generally the most uncomfortable, with pressure and occasional sharp pain as the fluid is distributed throughout the area to be treated.  In terms of success of the procedure, it can be very patient and operator dependent.  You should schedule a consultation with a physician that performs the procedure to get their opinion on whether you would be a good candidate or would be better suited for a different procedure.

Soumo Banerji, MD
Houston Physician

Thermi Treatments and Results / Pain

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If done well thermi treatments are virtually painless as anesthesia is used for the treatment.  there is some minor swelling afterwards and this can be treated with proper post operative care.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Do the Thermi treatments hurt, and how much?

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TheThermiTight is a minimally invasive procedure designed to heat and thus reduce fat deposits with the added benefit of shrinking and tightening the skin. The actual procedure is painless. An injection of fluid containing a local anesthetic is first injected, then a radio frequency emitting probe much like a needle is inserted painlessly into the skin. The probe sends a radio frequency wave that distributes heat to the skin and fat at a specific temperature resulting in tighter skin and fat reduction.

The treatment requires one treatment and the recovery time is minimal. The  price depends upon how long it takes and how many areas you want to treat,. I suggest you make an appointment for a consultation with a Plastic Surgeon who performs that procedure for more details.

You appear to be on the right track to achieving your goals by inquiring about the ThermiTight. Best of luck to you. 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.