Radiothermoplasty (Thermage)

Definition. Radiothermoplasty, trade name Thermage, is a form of thermal resurfacing. It is a non-invasive treatment that uses a device to deliver radiofrequency (RF) energy into the deeper layers of skin, which causes a heating action that immediately tightens skin tissue and structures. The Thermage procedure uses patented radiofrequency technology called ThermaCool and ThermaLift. It is sometimes referred to in medical terms as radiothermoplasty. The Thermage procedure uses a special treatment tip  to deliver controlled amounts of RF energy into the collagen layers of the skin. This form of energy produces a heating action that penetrates the collagen and causes it to contract and tighten. In addition, collagen production is triggered and over a period of about 6 months, new collagen grows to further tighten the skin. A fluid called coupling fluid is applied to the treatment areas. This provides a conductive medium to ensure good electrical and thermal contact with the skin and the treatment tip. Via the treatment tip, a combination of cooling spray and RF energy is delivered. The cooling spray continuously cools the outer layers of the skin to prevent any burning. Depending on your pain threshold, you may feel nothing, mild warmth, intense warmth (heat), or possibly pain with each application of energy. RF levels will be adjusted up or down accordingly so that therapeutic levels of heat are achieved without excessive discomfort. Treatment time varies according to area(s) treated and the number of times the tip is passed over the skin. A Thermage procedure can take anything between 1 to 2 hours from start to end.

Is it right for me? For patients looking to achieve the results of liposuction without surgery, Thermage is an effective, pain-free option.

Advantages. Thermage is probably the most non-invasive body contouring option offered by plastic surgeons. This technique literally melts unwanted fat with the use of a heated laser that causes the patient’s collagen to tighten. Thermage is effective for tightening the skin on the face as well as other areas of the body.

Disadvantages. To date, reported incidence of side effects is less than 1%. Some of the more common side effects and complications include: swelling and redness , risk of burn, blistering and scarring ,tingling and/or burning sensation for a few days after treatment , soreness, particularly around the jawline. A more serious complication is the formation of dents in the skin. This is attributed to overheating of tissue causing fat atrophy or excessive tightening.

Results. Results are difficult to predict. It appears to be ineffective for some people. Some see an improvement immediately or within a few weeks, whilst others only see improvement after 2-3 months. New collagen is growing for up to 6 months after treatment so improvements should be visible right up till this time. It is thought that benefits from Thermage may last as long as 5-10 years but only time will tell.