Is thermage effective if done again a few years later to achieve better results?

Thank you for your question. Historically we were rated as the 5th largest clinic in the world for Thermage face and body skin tightening treatments and have a lot of experience in this area over the last 15 years.
 If your initial Thermage (Radiofrequency) treatment gave you a reasonable result a further Radiofrequency /Ultrasound treatment should give you added improvement after a few years.  We currently use UltraCel for Skin tightening on the face and body which uses both Radiofrequency and Ultrasound. In addition for the body we also use  Exilis with sonic shockwave, Pelleve and Myokinetic Magnetic Induction.  Also Coolsculpting and Vanquish and Sculpsure to remove any residual pockets of fat.  We usually use a combination of machines to achieve an optimal result, however  photos and a detailed physical examination would be necessary to discuss realistic non surgical expectations and if we could not achieve this we would send you for a more invasive assessment.

This is difficult to answer without pictures. Keep in mind, non surgical options give only mild improvement compared to surgical lifting. With non-surgical treatments, skin tightening can be done with a combination of vanquish, venus legacy, exilis, celllutone/Zwave.  For best results, I recommend a hi definition procedure like a VASER liposuction, which can be performed at the same time as a tummy tuck, if you're a candidate. I use VASER HI DEF with ThermRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result.  I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer