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Fortona 4D or Thermage for Face Tightening, particularly jawline - which is better?

DLD0727Sep 30, 2021
I would like to know some professional opinions on Fortona 4D vs Thermage for face tightening, particularly jawline. A year ago I did Thermageand; Fraxel together and feel there was some improvement to my lower face/jawline. However, do want more improvements and tightening. I have been recommended to do a series of Fortona 4D instead of Thermage this year instead as my Derm feels this would be beneficial for my concerns. I'd appreciate some other opinions...

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Dr. Leyla Arvas, MD
Plastic Surgeon
5.0 | 1 Review
Answered on May 1, 2023
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Leyla Arvas, MD

Hi, thank you for your question. Both High-Intensity Focused Ultrasound (HIFU) and Thermage are non-invasive cosmetic procedures used for skin tightening and rejuvenation. When it comes to pain, individual experiences can vary, and what one person finds tolerable may differ from another's...

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Martie Gidon, MD, FRCPC, FAAD

There is no problem having treatment with either Thermage or Ulthera during breastfeeding. There is some discomfort with these procedures and most individuals require Tylenol or Advil which would not be a problem unless you have an allergy to them.

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Jason Emer, MD

I published papers years ago about using fillers there. thermage and ultherapy will not help but morpheus, non ablative lasers like fraxel and moxi, and proper cell turnover peels like emeragecosmetics ENLIGHTEN and AERIFY with dermarolling weekly can help. nothing can predict when this will...

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Raffy Karamanoukian, MD, FACS

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful...

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Jason Emer, MD

You can do microneedling RF (although this MAY decrease pigmetnation slighly after many many treatments), thermage, ultherapy and threads. microneedling and at home dermarolling can be done too. Best, Dr. Emer.

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Anshul Gambhir, MD

Hi, thank you for your question! Thermage should be performed at a minimum of two weeks after a peel. Depending on the intensity of the peel I would recommend waiting until the skin is fully healed for Thermage to be performed.

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