Does Thermage CPT Really Work?

a doctor suggested i have Thermage CPT to tighten-up sagging skin. Said Thermage CPT has much improved vs. old thermage.  Since i see thermage is really disliked on here for the old technique do you really think the new version is that much better (2X better)? thx! 

Doctor Answers 12

Thermage CPT is much improved over old technology

The new CPT Thermage is far superior to the old technology. The new Thermage is painless and is more effective. The CPT technologies allows you to use safe and effective energies in an easier way than the old Thermage. I have been extremely pleased both with patient comfort and results. The only downside is that it can take up to two hours for the procedure and may be repeated again in a few years as we age with gravity.

Does Thermage Work?

With the new Thermage CPT upgrade, the results are consistently much better an the older machines. I think one of te most important factors is appropriate patient selection. If a patient has too much laxity that would be better addressed with a facelift then I will refer the patient to plastics. One of the interesting things I have noticed in our diverse patient populations is that Asian, mediterranean, and Latino skin types seem to be slam dunk consistently repeat great results.

Grace Liu, MD
Newport Beach Dermatologic Surgeon
4.9 out of 5 stars 50 reviews

Thermage CPT Works

The newer Thermage CPT has much more consistent results then the old Thermage.  The old Thermage energy distribution was different, the hand pieces and sizes of the tips have changed and vibration mechanisms have been added.  Patient comfort is high, virtually painless, and results are consistently good to great.  We are thrilled with what Thermage CPT has done for our patients.  Thermage is the best non-surgical skin care device out there at this time. 

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 141 reviews

Thermage CPT works and works better than older Thermage

Thermage is a non-surgical skin tightening treatment that provides subtle skin tightening and contouring.  It absolutely works, but it isn't surgery so no one should expect the same results as with surgery.  Anyone who expects dramatic skin tightening is going to be disappointed.  People choose Thermage because they want skin tightening without the risks of surgery, without the downtime, and without anyone knowing they have had anything done.  They also choose Thermage to postpone or prevent the need for surgery, or to maintain their surgical results.

Thermage CPT is different from previous versions of Thermage.  There is more cooling of the skin surface and more energy delivered with each pulse.  More energy means a more effective treatment.  There is also vibration with each pulse, and between the vibration and the increased cooling the treatment is quite comfortable.  Patients do not need any pain medication and report that the treatments do not hurt.  Thermage CPT gives a more comfortable, more effective treatment.

Jordana S. Gilman, MD
Washington Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

RealSelf reviews on Thermage CPT say it doesn't work

Simply look here on and see the positive to negative reviews are in favor overwhelmingly NO! So your question is very easy to answer. Do not expect any improvement for all the dollars spent. Good Luck.

Does any Thermage work?

There are countless patients who have been disappointed with what old Thermage has failed to provide them. What I would suggest you do about researching this newer version is to ask your doctor for the names of a couple of patients who are LIKE YOU and have had this treatment so you can ask them if they are happy. If he/she tells you they can't because of "privacy issues" of can't come up with a comparable patient to yourself, the answer is simple - forget about it.


If you are looking for nonsurgical solutions, Thermage® is a safe, non-invasive cosmetic procedure that helps smooth, tighten and contour skin for an overall younger looking appearance. It can be used to treat sagging skin, loose jowls, lack of definition in the jaw line, sagging neck skin (“turkey neck”), wrinkles and fine lines, and lack of definition in the lips. The treatment delivers natural looking results with little to no downtime —on all skin colors, on and off the face, all in a single procedure. Fast and easy, you can even come in during your lunch break and return to work after! Thermage® uses radiofrequency technology to heat the deep, collagen rich layers of your skin. The heat helps tighten existing collagen and stimulate the formation of new collagen, which reduces sagging, renews contours, and improves the smoothness and texture of the skin’s surface. Comfort Pulse Technology, including a vibrating handpiece delivers enhanced patient comfort.

Michelle Copeland, MD, DMD
New York Plastic Surgeon
4.6 out of 5 stars 10 reviews

Facial Skin Tightening

Thank you for your question. I would suggest Ultherapy for facial skin tightening, not Thermage. Ultherapy deposits focused ultrasound energy below the surface of the skin to stimulate the body’s creation of new collagen. As a result, skin will actually begin to lift and tone over time. Collagen is a natural protein that gives skin its youthfulness by keeping it firmed, toned and elastic. Plus, the treatment is completely non-invasive and does not require downtime. I have seen excellent results with the treatment.

Newer thermage is better than old

I have heard from physicians that had the old thermage that patients find the new one less painful. The lower energies allow more passes and more cumulative heating and stimulation of collagen.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Thermage CPT has improved over old Thermage technology

Thermage CPT offers more uniform heating and better cooling as well as added comfort due to the different levels of vibration that distract from the heat of the tip of the handpiece. The vibration option is turned off for eye treatments. While the amount of time required to treat an area remains the same, it is much more tolerable with more noticeable results, possibly due to patients being able to tolerate a higher setting with the CPT. Results can take up to 6 months, but I noticed with the CPT there is a more noticeable immediate tightening post treatment. Results can vary from person to person and may require more than one treatment.

As with every treatment, make sure you are a good candidate and that you know what to expect. This is a noninvasive procedure with no downtime, so you won't have a dramatic result.

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.