Dr. Rokhsar recommends Ulthera for the best results.
Now there is finally a non-surgical no downtime approach available for skin tightening. The Thermage®1 procedure for skin tightening uses patented radiofrequency technology to deliver heat to the collagen in your lower layers of the skin resulting in tightening. You can improve the sagging skin of the jowls, face, and neck with this procedure without any cutting. Brow elevation may be possible with the treatment of the forehead.
Dr. Rokhsar uses the most advanced and innovative protocols for the use of Thermage with superior results. Dr. Rokhsar was involved in several research projects investigating the effectiveness of Thermage for skin tightening following liposuction of the abdomen and the breasts.
The Thermage procedure is a non-invasive treatment that gives you tighter skin, renewed facial contours, and healthier collagen. The Thermage procedure is available only by qualified physicians who specialize in cosmetic procedures. Your physician is your best information resource for determining how this treatment will most benefit you.
The Thermage procedure employs a patented technology called ThermaCool™3. The incision-free procedure is fast and easy and requires no downtime from normal activities. Unlike lasers, the procedure can be performed on patients of all skin types. The ThermaCool device has been cleared by the FDA for the non-invasive treatment of wrinkles.
Immediately following a Thermage procedure, your skin may feel tighter, smoother and more youthful. Over time, you will notice additional tightening. Unlike many laser procedures requiring four or more sessions, a single Thermage treatment has produced results in the majority of patients. The Thermage procedure can take anywhere from 20 minutes to 2 hours, depending on the size of the treatment area. Additional time may be required for skin preparation prior to the procedure.
Thermage ThermaCool TC® is a non-invasive device that tightens the tissue of the face by targeting the collagen in the deep dermis of the skin. While many think that this treatment is a laser, Thermage ThermaCool TC® actually uses radio waves, and as such, is not a laser.
By combining the radio waves into a concentrated beam, ThermaCool TC® has been able to heat a deeper portion of the dermis, previously unreachable by non-invasive treatments. Other non-invasive laser treatments have been only able to penetrate half as deep as Thermage ThermaCool TC® can. The reason for this is that the laser light can only penetrate so deep before the light is absorbed in the area under the skin. Thermage ThermaCool TC® was not designed for the treatment of age spots, wrinkles around the mouth or sun-damaged skin, which is best treated with light-based systems. The device was designed to provide a surgical result without exposure to the risks, downtime or costs associated with surgery.
Apart from providing a surgical-like tightening, patients can expect to have a resolution of many of the troubling lines and wrinkles on the face. The lines patients can expect to improve are the nasolabial (between the corner of the nose and corner of the mouth) folds, the marionette (folds seen between the corner of the mouth which slope towards the edge of the chin) lines, and crow’s feet.
Effects of heating the collagen in the dermis with Thermage ThermaCool:
By causing damage to the collagen with heat, the body then sends out collagen-producing cells called fibroblasts to replace the recently damaged collagen. The heat-induced change to the collagen, which causes the initial shrinkage, does not go away.
The ThermaCool system uses ThermaTip™, which delivers a controlled amount of CRF energy. With each touch to the skin, the ThermaTip device uniformly heats a volume of collagen in the deeper layers of the skin and its underlying tissue while simultaneously helping to protect the outer layer of the skin with cooling. This deep uniform heating action causes deep structures in your skin to immediately tighten. Over time, new and remodeled collagen is produced to further tighten skin, resulting in healthier, smoother skin and a more youthful appearance.
You will experience a brief, deep heating sensation as the CRF energy is delivered to your skin and underlying tissue. This deep heating sensation is your indication that your collagen is reaching effective temperatures for tightening. The physician controls the amount of energy delivered to balance procedural comfort with maximum results. The ThermaTip device is cooled before, during, and after heating to protect your skin and make the treatment more comfortable. Prior to treatment, an anesthetic cream may be applied to enhance your comfort. Additionally, your physician may also prescribe relaxants and/or pain medication.
The Thermage procedure may cause immediate tightening of the collagen structure, with additional tightening over time. The Thermage procedure has an excellent safety record. The most frequent side effects are classified as swelling, redness, bumps, and blisters on or around the treated area. These side effects may resolve in a few days or weeks. A rare but longer-lasting side effect described as a surface irregularity has also been reported.
Thermage is a similar treatment to laser skin tightening. This non-invasive technique uses radiofrequency energy to heat the deep layer of the skin, affecting skin cells that are hard to reach. Collagen is found deep within the skin and is responsible for creating the structure of the skin. In response to the heat that is emitted from the radiofrequency waves, collagen will be stimulated and create younger-appearing skin with having to make any incisions.
Thermage can work in conjunction with other fillers and injections for enhanced results.
Thermage not only tightens the skin back into a more youthful appearance but is also a safe, non-invasive treatment that requires no downtime. This one-time treatment contours and rejuvenates facial skin to help naturally restore skin cells and decreasing wrinkles while smoothing the skin’s surface.
Eyes by Thermage™ is a procedure that smoothes and tightens skin and decreases wrinkles and hooding in the eye area without surgery, injections or downtime. You’ll have younger-looking, more lifted eyes that look less tired. Plus, the smoother skin of your eyelids will make it easier to apply eye shadow and eyeliner.
The Eyes by Thermage procedure only takes about one hour. And because there are no bruising, swelling or sutures, you can usually apply make-up and return to your normal routine after the procedure.
The Thermage® radio-frequency (RF)2 energy uniformly heats the dermis while cooling and protecting the epidermis. Thermage® is designed to cause immediate collagen contraction followed by new collagen production which occurs over a period of time. The Thermage® procedure is the only non-invasive method to tighten loose skin.
Recently published studies, conducted by Thermage®, show that measurable tightening improvements appear gradually over 2 to 6 months after a single treatment session. However, many patients report seeing an earlier response to Thermage®.
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1 Thermage. Available: https://www.thermage.com/.
2 Thermage: the nonablative radiofrequency for rejuvenation. Available: https://pubmed.ncbi.nlm.nih.gov/18940540/.
3 ThermaCool. Available: https://therma.cool/.