How Effective is Thermage on the Neck Area?

Although Thermage works well on the neck, I have found far better results in my practice with the Ulthera procedure for the neck. Raffy Karamanoukian Los Angeles

An effective non-surgical option for reducing the appearance of fine lines is Thermage. Thermage is a non-invasive (no incision!) treatment that can tighten skin, renew facial contours, and stimulate your body to make healthier collagen—the building block that provides structure to your skin.
The procedure uses radiofrequency technology called ThermaCool that has been clinically proven to tighten and gently lift skin to smooth out wrinkles and renew facial contours. Fast and easy, Thermage requires no downtime from normal activities. And unlike laser treatments, Thermage can be performed on patients of all skin types. Thermage can be used not only for sagging facial, neck, and eyelid skin; but also all over the body, including flabby arms, hands, and legs. Now approved by the FDA for improving cellulite. Tighten and lift without surgery, injections, or downtime.
However, Thermage can have variable results if not performed by an experienced doctor. The best way to protect yourself is to consult a board-certified plastic surgeon who is professionally bound to engage only in techniques that have been deemed safe--after rigorous testing.

Like other areas, results with Thermage on the neck depend upon a few factors. With more experience, we are getting better at predicting who will get a good response. Most importantly, because it works by stimulating the collagen in the skin to regenerate, there has to be some healthy collagen there to begin with. A good way to tell is if there is some elasticity to the skin; if you tug on it, it should snap back. This of course dimishes with age, so that is another factor.
Some people are down on Thermage because it was marketed as an alternative to a facelift which it isn't. If your skin is significantly loose then your results with Thermage will be disappointing. It is unfortunate that the more you need something done the less likely Thermage is to be the solution, but there are a lot of people in the in-between category, who have some laxity to the skin but not a lot. Typically these patients are in their late 30's's to early 50's.