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Skin Tightening by Thermage India

What is Thermage?

A new non laser procedure for tightening the skin uses radiofrequency to heat the dermis and potentially the subdermal tissues. Thermage is FDA cleared for the non invasive tightening of rhytides using this proven mechanism of tissue tightening.

Radiofrequency tissue tightening is a recently introduced complement to and in some applications, alternative to non ablative laser technologies.

This device uses a novel form of radiofrequency energy to create a uniform field of dermal and even subdermal heating,while contact cooling protects the epidermis. This device can safely deliver higher energy fluences to a greater tissue volume than non ablative lasers.

Patient Selection

Guidelines should include treating a broad surface area at appropriate fluences and carefully selecting patients in their thirties to seventies,who have medium quality skin thickness and mild to moderate jawline and neck laxity. All skin types can can be treated effectively as dermal heating while simultaneously cooling the epidermis with no hyperpigmentation or hypopigmentation. Patients with advanced photoaging or more severe skin sagging benefits from this treatment.

Expected Benefits

A single treatment reduces periorbital wrinkles, produces lasting brow elevation and improves eyelid aesthetics. The safety profile of this device, used by physicians is also impressive.

Higher treatment fluences lead to improved and more consistent results.

The greater the surface area treated, the better are the results.

Younger age is a predictor of increased efficacy.

Treatment Approach

It is capable of tightening the skin and improving the contours. The physician must analyze the patient’s three dimensional facial structure to assess those areas that would benefit most from tightening. Typically this would include the forehead /brow area as well as the lower cheek,jawline and submental region.

Once this analysis has been done and the treatment plan created, therapy can be initiated. By varying the fluences used and the number of passes in each area of the face, the physician can preferentially tightten some areas,reduce the prominence of others(i. e. jowls) and overall improve the shape and appearance of the face.

Patient Interviews

Patients scheduled for treatment must be in general good health, and must not have a pacemaker. It is recommended that pregnant women should not be treated. It is also important to assesss the following pretreatment:

Do you have a low pain tolerance?
The measure of heat felt during the procedure is important in determining treatment levels.

Do you have any important social events coming up?
It is important to schedule the procedure at a time when they have no social obligations as there might be edema in some cases.

What are your expectations?
Patient should have realistic expectations which should be discussed before starting the procedure.