Is It True That Thermage Can Cause Damage to Skin's Elastin Fibers?

Elastin is a form of collagen, the building block protein that the skin and much of the rest of the body is made of. Thermage and other similar devices are based on the fact that if collagen (and therefore elastin) is heated in very brief pulses to a certain temperature, damage is created in a way that stimulates a healing response, which in turn builds new collage and tightens the skin. So technically the elastin fibers are damaged, as are the collagen fibers, because that is what triggers the desired response. The limiting factor for these types of treatments is that there has to be collagen and elastin in reasonable amounts to begin with, and with age the skin thins from loss of collagen. So if you are considering it as a substitute for a facelift, you will be disappointed, which is why the low ratings. The ideal patients are in their late thirties to early 50's.

When you have a large company that can promote a service, it is hard for any single individual to negate the claims made by that company. Thermage is a radiofrequency device that can generate heat which can cause selective damage to structures including the fat and proteins of the subcutaneous structures. In some instances that  damage such as denatured protein is desireable and can result in contraction of the skin and fat cell damage while in other instances it can disrupt elastin fibers or produce fibrosis. The problem is in definiitvely and quantifiably predicting a consistent result.

The excellent question you have asked about the biology of Thermage will not be possible to adequately answer because I don't think the answer is truly known.  But what does it matter ? m  Look at the 40% satisfaction rate on RS from Thermage and ask yourself why would you pay big money and go through the pain for a 60% chance of being unhappy according to real patients.