Hi Robin. The ThermiTight procedure provides radiofrequency energy to heat tissues. The temperature that is set during treatment as well as the depth will determine which tissues will be affected. When used on the face, if set at higher temperatures and performed in the fat layer then there will be the potential of facial fat loss. This is what makes it a good treatment for double chin reduction. If you are considering the treatment, it is important to make sure your goals for the treatment are communicated to your physician so that the treatment plan can be customized for you. Hope this helps answer your question.
Thermi RF is a very highly selective and specifically controllable treatment, probably the safest on the market with both internal and external temperature controls. My patients and I have been very pleased with their results and I have been using Thermi RF for 3 years. I have not noticed any unwanted fat melting.An experienced Board Certified Facial Plastic, or Plastic Surgeon can specifically choose to either only tighten skin or also melt fat in a jowl or under the chin, only if the patient has fat in these locations, by selecting the correct settings on the machine. After your surgeon was done with the skin tightening part of your procedure, if you had any fat that needed to be melted, he/she would then place the probe only in the fat, would change the settings on the machine for fat melting and would proceed to treat the fat (e.g. in Jowls or under chin).Hence your surgeon can decide together with you if only skin tightening is needed or if fat melting is also needed and can set the machine parameters accordingly. Some people only need skin tightening and thus the fat melting option is not used.I hope this helped answer your question. Best of luck in your quest !Dr. Anna PetropoulosFacial Plastic Surgeon, Boston