What are your thoughts on Thermage?

Question

I've been reading horrible reviews about thermage. I'm wondering if there's a specific skin type that does better with this procedure. I have very thin pale skin. I have very fine lines around my mouth due to weight loss so it seems this may help my situation.

Jason Emer, MD · Answer

Thermage is radiofrequency heating of the skin for skin tightening. I prefer to use it in combination with other therapies for optimal results. I recommend getting a formal consultation with a cosmetic dermatologist to discuss your best options. Fillers, radiofrequency, lasers and peels are all great to use in combination to treat lines around the mouth. See an expert. Best, Dr. Emer

Manish Khanna, MD, FRCP(C) · Answer

Hi Je131,

As a specialist in non-surgical options for skin rejuvenation, one of our patients' biggest concerns is how they can avoid surgery but still tackle the concerns they have with lax skin and contouring of the jaw-line. We have worked with every "best" non-invasive skin tightening device (including Thermage and Ulthera) and we find the the most superior results come from The Exilis Elite procedure. However, you must keep in mind that 1. your expectations should be realistic (you are not having surgery) and 2. the technology itself does not give great results but has to be combined with skill and expertise in the execution of the treatment. Further, you mentioned very fine lines around your mouth. Skin tightening devices may help somewhat, but will not significantly improve those fine lines. There are other options that should be discussed with an expert in the field of cosmetic dermatology. My advice is research 2-3 doctors in your area that are specialist in their field as they will have a wide range of technology and be able to choose what best suits your needs and goals.

Best of luck,

Manish Khanna, MD

Michele S. Green, MD · Answer

Skin tightening is a fantastic procedure and the new Thermage with CPT technology is still the best skin tightening laser.  It sounds like you may need fillers as well to increase volume such as Voluma or Sculptra to produce new collagen. Please consult a specialist in Thermage for the best cosmetic results.

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