Does ThermiSmooth shrink the fat underneath facial skin?

The ThermiSmooth radio frequency generator can shrink fat beneath the skin in the face if that is the goal. The depth of the effects from a ThermiSmooth treatment is related to the size of the hand-piece used. A very small one or a bipolar one will only shrink skin. The depth of the radio frequency penetration is one third the size of the hand-piece. For instance, a 3 cm hand-piece will shrink fat 1 cm deep. The bipolar applicator only penetrates a few millimeters, therefore tightens skin with no fat loss.

Generally, loss of fat in the face is undesirable, so a very small or a bipolar paddle is used. This is been quite effective around the eyes and mouth. The result is basically tighter skin.

The newest addition to the ThermiSmooth is the ThermiSmooth 250, which is much more powerful and useful for shrinkage in the size of the arms, abdomen, neck, etc. Thank you for your question, and it appears you are on the right track. Excellent question.

Thank you for your question.  I recommend a combination of procedures for optimal results.  Thermismooth is noninvasive and is good for resurfacing fine lines, but ThermiTight can actually lift and tighten your neck and lower face.

ThermiTight utilizes a small electrode inserted under the skin to heat tissue to a selected therapeutic temperature.  Literature has shown that elevating skin to a therapeutic temperature level can contract collagen molecules and stimulate collagen production, which may give the appearance of lifting or tightening.   Fat reduction is rare, unless set to high temperatures and kept at high temperatures for a significant amount of time .

To best answer your question,  it  depends on how much skin laxity you have.   ThermiTight can work well in the thigh area to tighten skin that is mild to moderately laxity.  Surgery may be a better option, if you have excessive laxity.   Results with ThermiTight vary from patient to patient.  You should experience some overall improvement.  In our center, I offer a procedure that we call ThermiSculpture. This combines some liposuction fat removal with ThermiTight. The radiofrequency probe is inserted into the same incisions that are used for the liposculpture. This combination removes fat, stimulates collagen, and tightens and lifts the skin. Consulting a board-certified plastic surgeon who knows how to effectively combine ThermiTight with liposuction will give you the most dramatic and long-lasting results

The best way to assess and give true advice would be an in-person exam.

Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Hi Noor! I would check to see which version of the Thermi device your physician has. The Thermi250 has different hand pieces that allow the radiofrequency energy to travel different depths of the skin. The smaller spot sizes are great for skin laxity treatment. The radiofrequency energy stimulates collagen repair and regeneration, which help to tighten the skin. The larger spot sizes penetrate more deeply to heat and reduce fat cells.I hope this helps!