Would you Allow a RN, LPN, or Esthetician Perform Thermage if the Physician is in the Office?

Doctor Answers 4


Yes- in my office I have my nurses and Aestheticians performing Thermage.  The procedure is safe and I have been involved in the training aof everyone in my office.  I am a Plastic Surgeon and I use Thermage in my office because patients are quite satisfied with results.  I can offer my patients facial surgery as well which, frankly, is more lucrative for me...but there are clearly cases where surgery is just too extreme for the patient's issues.  In these cases Thermage has provided an improvement that has satisfied my patients.  Education is important and it's important to understand that the results of Thermage will not be equivalent to surgery.  Good Luck!  Scott Newman, MD FACS

New York Plastic Surgeon
4.9 out of 5 stars 42 reviews

Thermage is safe for qualified RNs and estheticians to use

Thermage can be very safely performed by trained RNs or estheticians.  However, candidate selection is critical with Thermage treatments.  I would be more concerned about the experience level of the person evaluating you for treatment - Thermage effects are generally subtle at best in the majority of patients.  There are many happy Thermage patients, but those are typically the small subset of people for whom Thermage can produce a satisfactory result.  Be wary of any practitioner who promises dramatic change with Thermage treatment, and make sure your provider is well-experienced in Thermage candidate selection.  Most patients we see are not good candidates for Thermage only because their expectations way exceed what Thermage treatments can typically produce.  

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews


You may want to review your individual state regulations on who can administer Thermage. However, I think that the bigger issue (as Dr. Rand eloquently stated) concerns the efficacy or lack thereof with Thermage.  The results have been underwhelming in many patients and there may be better ways to spend your money.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 95 reviews

The main Thermage question is really - do you want it?

You should carefully review your expectations before stepping into having Thermage regardless of who is doing it.  At its best, in my opinion, the results are very minimal to nearly non-existent and you can confirm this by reading the reviews of real patients.  If you have any real laxity of the skin, the difference may not be worth doing it.  

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 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.