TITAN Vs. Thermage for Skin Tightening?

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First of all you should ask -"Do they really work?" I would urge you to find a responsible and knowledgable plastic surgeon and not focus on brand names as this is the least important part of your decision.  As far as longevity- the six week results of your intervention are as permanent as anything in your body can be.  you will continue to age depending on your genetics and environmental factors.

The problem with noninvasive skin tightening is that everyone wants it and everyone wants to believe it works.  The result is practitioners of all sorts capitalizing on this demand.  The truth about skin tightening interventions is that almost all of them work AND NONE OF THEM WORK.  What I mean by this is that there are many ways to convert energy into heat inside or below the skin causing contraction.  The problem is that to deliver clinically effective results the tissue needs to reach at a minimum 43 C which is uncomfortable and can be scary for the patient and the practitioner.  This often results in ineffective treatment and wasted time and money.  I have developed extensive experience with noninvasive technologies mot because I'm a fan but because my patients demand it.  After using several "best in class" technologies to deliver definitive results, my patients were relatively pleased but I was underwhelmed.  THis is why I started using  a treatment that we call Maerckks Multimodal Therapy(MMT) in my practice.  All this is is an intelligently designed multitechnology treatment customized for the individual patient.  I use multiple diffferent frequencies and administration systems for radiofrequency delivery, three different ultrasound frequencies, infrared pulsed light, two different laser systems in concert to deliver immediate significant results that are hard to argue with and continue improving for weeks.  I think the only way to get real results is to combine technologies under the direction of a plastic surgeon that understands the capabilities and limitations of noninvasive skin tightening.  No one technology really delivers anything significant.  Also realiize that even my MMT results that I am very proud of do not remotely compare to what I can achieve with surgery and the cost can approach or exceed that of surgery depending on location and individual patient findings

Great question, but I’m curious as why you’ve narrowed down to Titan and Thermage as your options. Take a look at the reviews on RealSelf before you make a choice. I think that the real question is facial tightening, and how. For around eyes the best choice may be the newest and safest choice, ThermiSmooth. It uses a smart surface delivery of RF energy to tighten skin around the eyes and mouth and is combined with Thermal Image Monitoring (TIM)™ to more accurately see the heat energy for true collagen building. For the cheeks, the best treatment for tightening may be Ultherapy, which uses microbursts of ultrasound energy. These are both great choices and kind to your skin tone.

After carefully investigating both modalities, I went with Titan for our Rejuvenation Center almost 6 years ago. I have not been disappointed nor have the patients. Skin tightening results are not only excellent on the face but equally good on other parts of the body as well. There is no problem treating with Titan on your skin type.