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Thermage is a non-invasive skin-tightening treatment that uses radiofrequency technology to promote new collagen production in the treatment area to treat skin laxity, fine lines, and wrinkles without the need for invasive surgical procedures. Thermage treatment triggers the body’s natural collagen production process, tightening existing collagen and increasing new collagen synthesis to create firmer, smoother skin in just one treatment session. There are no side effects or downtime associated with Thermage, making it the gold standard for skin tightening. Dr. Green was one of the first dermatologists in New York City to employ Thermage in her patients’ treatment plans for skin rejuvenation.

The face is one of the first places that begin to show signs of aging, such as fine lines, wrinkles, and sagging skin. As collagen production decreases with age, these aging signs can become more apparent, especially around the eyes and lower face. Wrinkles are easily formed around the corners of the eyes as crow’s feet, and sagging skin can cause hooding above or on the upper eyelid. Sagging skin can also create the appearance of jowls along the jawline. Dr. Green utilizes Thermage treatment to address all of these concerns, as a single treatment session boosts collagen production to tighten the skin, contour the face, and create a more youthful appearance.

Dr. Michele Green is a world-renowned, board-certified dermatologist who has more than 25 years of experience treating skin laxity, fine lines, sun damage, and other signs of aging. Dr. Green is an expert in utilizing various non-invasive cosmetic procedures such as Thermage in her patients’ treatment plans for pan-facial rejuvenation. She is consistently voted as one of NYC’s top dermatologists by Castle Connolly, Super Doctors, New York Magazine, and The New York Times due to her expertise and dedication to her patients. When you consult with Dr. Green in her private Upper East Side dermatology office, she will create a customized treatment plan suited to your skin concerns and aesthetic goals to create the appearance of a facelift without the need for plastic surgery.

What is Thermage?

Thermage CPT is a non-invasive skin tightening treatment that uses radiofrequency energy to tighten existing collagen and stimulate new collagen production for facial and body contouring. Created by Solta Medical, Thermage is FDA-approved to address loose, sagging skin in a wide range of treatment areas. Unlike plastic surgery, Thermage is quick and painless and requires no downtime after the procedure. After a single session, patients notice a decrease in skin laxity and a reduced appearance of fine lines and wrinkles. Additionally, Thermage treatment can help to reduce the appearance of cellulite and dimpling on the skin. Overall, Thermage works to slow down the body’s natural aging process and create firmer and smoother skin.

What is Thermage FLX?

Thermage FLX is the newest generation of Thermage treatment devices from Solta Medical. The Thermage FLX employs the same radiofrequency technology as the Thermage CPT. However, the Thermage FLX uses a new patented technology called AccuREP to deliver energy more precisely while adjusting pulses in real-time. The tip also allows providers to cover 25% more surface area at a faster rate, speeding up the procedure time to maximize patient comfort.

thermage flx patient

What is Thermage for the face? What is a Thermage facelift?

Thermage can be used to create the appearance of a facelift without the incisions, risks, and long recovery times associated with a surgical procedure. As collagen and elastin production decrease with age, the skin becomes loose and crepey, enhancing the appearance of fine lines and wrinkles. On the face, loose, sagging skin can appear as crow’s feet, eyelid hooding, and jowls. Crow’s feet refer to the fan-shaped wrinkles that appear while smiling or squinting. Hooding occurs when excess skin develops on or over the eyelid. Jowls are characterized by loose skin that droops around the lower face around the jaw, neck, and chin. By increasing collagen production, Thermage treatment can tighten the skin to reduce the appearance of crow’s feet and hooding and contour the lower face for a more defined jawline.

How does Thermage work on the face?

Thermage utilizes radiofrequency technology that has been clinically proven to lift and tighten skin. The radiofrequency energy is converted to heat energy in the deeper layers of the skin. This heat triggers the body’s natural wound-healing process to tighten existing collagen and promote the production of new collagen. After just one session, Thermage can firm the skin and improve the appearance of hooding on the upper eyelids, crow’s feet or wrinkles at the corner of the eyes, and jowls or sagging skin around the jawline.

At the start of the procedure, a grid will be marked along the treatment area to mark where the thermage handpiece will be placed on the skin. With each pass of the handpiece, patients will feel a deep heating sensation followed by a cooling sensation on the skin’s surface to minimize any discomfort during the procedure. After the procedure, patients can resume their daily activities without any downtime. Patients may see an immediate glow or plumping effect following treatment. While the full effects of Thermage are not immediately visible, patients will notice improvements in skin laxity and texture through the months after treatment as new collagen is synthesized.

How long does Thermage last on the face?

Thermage skin-tightening produces long-lasting results that can remain visible for two years or more. Various lifestyle choices, such as maintaining a proper skincare regimen and avoiding excessive sun exposure, can help to enhance and improve the longevity of the results. Dr. Green recommends scheduling regular touch-up appointments every year or year and a half to maintain the desired effects of treatment.

AL 49 yo female before and after Thermage MGWatermark

How much is Thermage face treatment?

The cost of Thermage face treatment can range anywhere from $3,5000 to $4,5000, depending on geographical location, the treatment institution, and the provider performing the treatment. Specialized training and equipment are necessary for optimal Thermage results, and it is important to see an expert in cosmetic dermatology, such as Dr. Green, who has the knowledge and expertise to deliver Thermage treatment without any side effects or risks. Additionally, Thermage treatment for the face can be separated into just the lower face, the lower face and neck, the entire face, or the entire face and the neck; as such, the price for treatment will vary based on the extent of the facial area to be treated. During your initial consultation with Dr. Green, she will assess your facial anatomy and discuss your aesthetic goals to create a customized treatment plan best suited for your skin concerns. At this time, she can provide a better estimate for the cost of treatment.

Is thermage good for the face? How effective is Thermage on the face?

Thermage is extremely effective for firming and contouring the face and is considered a gold standard for skin-tightening treatments. The results from Thermage are not immediately visible, although patients do notice that their skin is plumper after treatment. As collagen growth increases in the months following the procedure, skin laxity, fine lines, and wrinkles on the face will continue to improve. The full effects of treatment will become visible after three to six months. The benefit of Thermage treatment is that these results are natural-looking and long-lasting after just a single treatment, with no associated side effects or downtime.

What are the side effects of Thermage treatment?

There are no side effects from Thermage treatment, as the procedure is safe and painless. Immediately following the procedure, some patients may experience mild swelling or redness, which typically resolves on its own within an hour. No special care is required after treatment, and patients can resume their normal activities.

Can I wash my face after thermage?

Absolutely! For the following three days after treatment, it is important to be gentle with the skin, avoiding using hot water, exfoliants, and cleansers with irritating ingredients such as salicylic acid. Additionally, steer clear of hot environments such as steam rooms and saunas to avoid skin irritation.

Does Thermage cause fat loss in the face?

While the results from Thermage treatment may create a firmer and more contoured face, the procedure does not cause fat loss. The radiofrequency energy delivered from the Thermage device should not penetrate deep enough into the skin to affect fat. Rather, the energy delivers heat to the dermal layers of the skin to remodel existing collagen and stimulate the production of new collagen in the skin. When you have your Thermage treatment performed by an expert such as Dr. Green, you will be sure that underlying fat loss in the treatment area will not occur.

Does Thermage work on the face? What does Thermage do to and for your face?

Absolutely! In just a single treatment session, Thermage works to treat crepey, sagging skin to a more youthful-looking appearance. As we age, decreased collagen and elastin production results in loose skin that can emphasize volume loss, creases, and wrinkles on the phase. By tightening existing collagen and increasing new collagen production, Thermage can restore elasticity and improve the appearance of crow’s feet around the eyes, hooding on the eyelids, and jowls along the jawline.

LL 35 44 before after thermage and injectables jan 2018 ANGLER 1 MGwatermark

Can Thermage be paired with other cosmetic procedures for the face?

Yes! As Thermage only treats skin laxity, it is often paired with other non-invasive cosmetic procedures to address other signs of aging, such as sun damage, volume loss, deep lines, and hyperpigmentation. Some popular treatments used to complement Thermage treatment are Botox, dermal fillers, Fraxel, Coolsculpting, and chemical peels. During your consultation with Dr. Green, she will discuss your aesthetic goals and create a customized treatment plan for overall skin rejuvenation.


Botox is used to address the dynamic wrinkles that appear on our faces as we age. Dynamic wrinkles are the creases that form due to muscle contractions. Typically, this appears as creases along the forehead, glabella (between the eyebrows), and crow’s feet (the other corners of the eyes). Botox uses a neurotoxin to “freeze” the muscles responsible for these dynamic wrinkles to smooth out the creases and fine lines.


Dermal fillers such as Juvederm and Restylane can be used in addition to Thermage to treat deep lines, creases, and volume loss in the face. Juvederm and Restylane contain hyaluronic acid, a naturally occurring substance in the body that immediately corrects volume loss when injected into the face. These fillers have various formulations that can be used to address various areas of the face, such as the mid-face or nasolabial folds, depending on your specific skin concerns.

Fraxel laser

Individuals concerned with sun damage can complement Thermage treatment with the Fraxel laser to further rejuvenate the skin. Fraxel is a skin resurfacing treatment that can address various skin concerns such as sun damage, age spots, wrinkles, fine lines, enlarged pores, and acne scars. Fraxel utilizes fractionated heat energy to trigger the body’s natural healing process and promote collagen production.


For individuals experiencing excess pockets of fat in addition to skin laxity, Dr. Green may recommend CoolSculpting to maximize facial contouring. CoolSculpting is a body-shaping procedure that utilizes cryolipolysis, or the freezing of fat, to eliminate fat cells in the treated area. Since fat cells freeze at a lower temperature, the surrounding skin is left unaffected. CoolSculpting can be used in the submental area (“double chin”) to contour the jawline further.

Chemical Peels

A chemical peel is a skin resurfacing cosmetic procedure that uses a chemical solution to increase the rate of skin cell turnover, allowing for new, healthy skin cells to appear on the surface. Various chemical solutions can be used based on your skin type, condition, and concerns. A chemical peel treatment can improve a multitude of skin conditions, such as acne scars, hyperpigmentation, skin texture, fine lines, and sun-damaged skin.

GS before After Thermage MGWatermark

Is Thermage or Ultherapy better for the face?

Thermage and Ultherapy are two non-invasive treatments that increase collagen production to tighten the skin. The main difference between the two treatments lies in the technology utilized. Thermage uses radiofrequency energy to produce thermal damage in the inner layers of the skin. Ultherapy uses ultrasound energy that penetrates deeper into the dermis to stimulate collagen. While both treatments provide similar skin-tightening results, Dr. Green often recommends Thermage over Ultherapy for facial rejuvenation. The Ultherapy procedure is much more painful than Thermage due to the depth that the ultrasound energy penetrates. Ultherapy also has the potential to cause unwanted side effects, such as loss of fat tissue in the treatment area, while there are no side effects associated with Thermage. Furthermore, Ultherapy can only treat the face and chest, while Thermage is not limited and can safely be used on all body areas for pan-rejuvenation.

Is thermage worth it for the face?

Absolutely! Thermage is the gold standard treatment for skin tightening. By tightening existing collagen and promoting new collagen production, Thermage treatment can address skin laxity, fine lines, and wrinkles on the face. The results from Thermage are long-lasting, providing you with firmer, tighter skin and a more contoured face after just one treatment session. There is no downtime associated with the procedure, allowing you to have the appearance of a facelift without the need for surgical procedures, incisions, scars, or anesthesia. Thermage treatment can additionally be complemented with other cosmetic procedures, such as Botox, dermal fillers, and Fraxel, to address multiple skin concerns for pan-facial rejuvenation. If you are frustrated with the appearance of loose, sagging skin on the face, consult with Dr. Green today.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience in treating her patients with the most innovative cosmetic procedures available. She is an expert in utilizing non-invasive laser treatments such as Thermage and Fraxel to treat various aging signs and deliver long-lasting, natural-looking rejuvenation results. In her private boutique Upper East Side dermatology office, she takes a holistic approach to facial rejuvenation, creating individualized treatment plans for each patient based on their skin concerns and aesthetic goals. Castle Connolly, New York Magazine, Super Doctors, and The New York Times have consistently voted her as one of NYC’s top dermatologists due to her dedication and expertise. To get started with your individualized treatment plan for skin-tightening treatment and facial rejuvenation, please Contact us online today or call 212-535-3088 to learn more about Thermage and other non-invasive cosmetic procedures.

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