Thermismooth Radiofrequency Treatment - can anyone recommend it for refining and tightening?

Can any one recommend this treatment? How long does it last and how effective is this treatment for refining and tightening? About how much does it cost?

Doctor Answers 13

Skin tightening with Thermi devices

We have a couple of different Thermi devices and have used them effectively on many patients. A treatment course of around 5-6 treatments provides a nice modest tightening to areas of skin laxity. The effects are long lasting and patient satisfaction is generally very high with this device. Cost varies on the area or areas that need treatment.

Long Island Dermatologic Surgeon
4.9 out of 5 stars 19 reviews

ThermiSmooth vs Thermage vs. Pelleve vs. Ultherapy vs. Exelis etc. for facial tightening

Every patient is different!  That is why non surgical tightening procedures are not magical and deserve a physician consultation to determine what is the best treatment, even if that physician does not perform that treatment!
Some patients refuse to have surgery and want to reverse the effects of aging.  We have to have realistic expectations.  Non-invasive energy sources, whether radiofrequency, such as: ThermiRF, Pelleve, Thermage and Exelis, lasers such as Fraxel Repair, plasma such as the former Rhytec Portrait which is now an Energist device, can help tighten facial and non facial tissues but not to the extent of surgery. I tell those patients that see me in consultation, who can benefit with a greater result from surgery than the non-invasive energy sources.  Many of those patients don't want surgery knowing that the result will remove more fat or more sagging skin. They are more than happy to have some result of facial rejuvenation, knowing that unlike with surgery, there is no way to know how much skin will be lifted, as this is a result of their individualistic body response.
ThermiRF has produced a treatment called ThermiSmooth. This is a series of non-invasive, non painful, treatments, often done 10 to 14 days or more part, for 5 or 6 treatments.  This is compared to having one ThermiTight procedure but this is more of a minimally invasive procedure involving more post operative swelling and possibly bruising.  Local anesthetic has to be injected prior to ThermiTight, not ThermiSmooth.
I have found significant reversal of photoaging with lifting from ThermiSmooth on my patients.  Some have dramatic improvement but none obtain this immediately after the procedure.  It always takes a minimum of six months to more than a year after the procedure to obtain the maximal improvement.
ThemiTight has a high patient satisfaction rating.  I have found though, that all procedures that produce results over time, in contrast to plastic surgery, require the patient to view their before photos to see the difference as none of us can remember exactly how we looked and when changes for the better occur slowly day after day, it's difficult for anyone to judge how they're doing.  Comparing the final post operative photograph to the before often shows a dramatic improvement.

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

Good for tightening

Thermismooth and thermismooth body is effective for tightening for the face and body area. Thermismooth body with the thermi 250 also gradually shrinks fat in the jowls abdomen and thighs. After a series of four to six sessions the results will be noticeable in three months. The results continue to improve up to 9 months. There is no downtime and properly monitored is a good option. 

Morris Westfried, MD
Long Island Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

ThermiSmooth treatment great for skin tightening

ThermiSmooth is a radiofrequency treatment that is used to treat lax skin on the face, namely the eyelid, perioral, and cheek region. It requires a set of 3 treatments spaced 3 weeks apart to get maximal results. The results will gradually become apparent and will be most noticeable around 4 months. Cost varies per region but can range from 300-500 dollars per treatment session and region of face. 

Michael T. Somenek, MD
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 30 reviews

The Benefits of ThermiSmooth

Our clients have been thrilled with the results of the ThermiSmooth treatment. It is an excellent non-invasive way to treat fine lines and wrinkles, especially around the eyes and mouth. Often, there is immediate improvement notice by our clients who have the eye treatment. For best results a series of 3-5 treatments is recommended, spread 2-4 weeks apart. The cost will vary based on the area treated and your geographical location.

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


I would recommend a more targeted and effective skin tightening procedure such as Ultherapy.  We offer this as well as other radiofrequency skin tightening at our tysons corner office, however I believe, Ultherapy would be best in your situation.  You can call us at 703-740-8333 or email at to schedule a free consult.

Reps B. Sundin, MD
Washington DC Plastic Surgeon
5.0 out of 5 stars 28 reviews

Skin tightening

ThermiRF has been one of my favorite in between treatments since I have introduced it into my practice. Skin tightening and refinement can b3 done for those who meet criteria.  For those with minimal to moderate per irina wrinkle the Thermistor the may be the tool of choice.  For those who desire mild to moderate skin tightening of jowl, neck, arms, abdomen, and legs, Thermalright may be a consideration.  Personal consultan with board certified surgeons is a must to review all rejuvenation  tools.

Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 116 reviews


ThermiSmooth is a non-invasive procedure which uses radiofrequency for improving skin laxity. It stimulates Collagen production by using temperature controlled radiofrequency energy. We have found it very effective for treating the problem areas around the eyes and mouth.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 66 reviews

Thermismooth for wrinkles

We usually recommend a series of 6 sessions. The results depend on how weathered your skin is. It will help the fine lines but as to tightening, I guess that depends on what you mean by that. The amount of collagen produces with Thermismooth is certainly not as much as you see form a Fraxel laser, but there is also no down time with the Thermismooth. How long it lasts depends on your lifestyle, sun exposure as well as the speed at which you are aging. Cost will vary from doctor to doctor, we charge $150 per session for the peri-oral area.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

ThermiSmooth - Non Surgical Tightening

ThermiSmooth is an excellent way to achieve tightening of the face and even the body with a series of treatments that utilizes radiofrequency and heat to tighten the skin.  Our patients have especially enjoyed the effects around the eyes and to perform a subtle browlift.  We typically recommend a series of 3-5 treatments spaced 2-3 weeks apart for a long lasting results (in the order of months).  You will find different prices depending on where you go and how many areas you are having performed.  In general we charge $400 per "area" of the face and then charge hourly for body areas as these take a lot longer to perform.  

Kian Karimi, MD, FACS
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 67 reviews

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.