Thermage Maintenance

As we age, the production of the structural proteins collagen and elastin begins to decline, leading to increased skin laxity and a more pronounced appearance of fine lines, wrinkles, and cellulite. Increased skin laxity – or loose skin – can affect many areas of the body, with decreased collagen production contributing to signs of aging on the lower face, along the jawline, including the appearance of jowls, around the eyes, on the neck, décolletage, arms, legs, abdomen, buttocks, and thighs. For a long time, many patients falsely believed that the only way to improve skin laxity was to undergo an invasive procedure, such as a facelift, with a plastic surgeon. However, achieving a naturally youthful appearance is easily attainable without incisions or surgery. Sagging skin, uneven skin texture, and other skin concerns can easily be addressed with the array of non-invasive treatments available at Dr. Michele Green’s Upper East Side, New York City dermatology office. One of the most popular non-surgical cosmetic procedures for skin tightening is the Thermage radiofrequency laser.

Thermage is often considered the “gold standard” in anti-aging, skin-tightening treatment for many reasons. Using radiofrequency energy, Thermage laser treatment boosts collagen production to combat sagging and loose skin. It reduces the appearance of fine lines, wrinkles, and cellulite with no downtime, allowing patients to return to regular activities immediately. Thermage is a non-invasive procedure, unlike a surgical facelift performed by a plastic surgeon, which is expensive, carries a high risk of adverse effects, and requires a long recovery time. In contrast, Thermage takes only about an hour to perform, is not associated with severe side effects, and still delivers incredible results. For a treatment that reverses signs of aging and provides patients with firm, tight, even-textured skin, look no further than the Thermage skin tightening treatment available at Dr. Michele Green’s New York City dermatology office.

To achieve optimal results from radiofrequency energy skin tightening and body contouring, seek treatment from an experienced, board-certified dermatologist, such as Dr. Michele Green. An expert in creating customized skincare plans with various treatment options, including microneedling, laser resurfacing, chemical peels, Botox, dermal fillers, and more, Dr. Green has treated patients for a wide range of skin conditions at her Upper East Side, New York City dermatology office for over 25 years. Well-known for precision, patient comfort, and achieving optimal results, Dr. Green enjoys high patient satisfaction by creating individualized treatment plans based on each person’s individual needs and aesthetic goals, which has also earned her the honor of being voted one of New York City’s best dermatologists by such publications as Castle Connolly, Super Doctors, and New York Magazine.

What is Thermage treatment for skin tightening and skin rejuvenation?

Thermage is a non-invasive, FDA-approved skin-tightening treatment that uses radiofrequency (RF) energy to achieve skin rejuvenation results with minimal downtime. An inevitable part of the aging process is a decrease in the production of elastin and collagen. Collagen and elastin are proteins naturally produced by the body that provide the skin with a firm foundation and elasticity. As collagen and elastin are depleted, the result is visible fine lines and wrinkles, as well as crepey skin and loose skin texture. For patients seeking to minimize sagging skin and combat the visible signs of aging, Thermage treatment is an excellent option for skin tightening. Thermage skin tightening treatment provides tighter, firmer, and smoother skin, softens fine lines and wrinkles, and helps you look younger without plastic surgery by boosting your body’s natural collagen fiber production. The Thermage procedure can be used nearly anywhere on the face or body, including the jowls, neck, chest, upper arms, abdomen, thighs, and buttocks, for a non-surgical “lift” effect that firms and tightens loose skin.

How does Thermage radiofrequency energy treatment boost new collagen production in the treated area?

The Thermage treatment for skin tightening utilizes radiofrequency laser technology to boost collagen production for firmer, tighter skin. When the Thermage device is applied to the skin’s surface, it emits a beam of radiofrequency (RF) energy that heats the deeper layers of the skin, known as the dermis, while keeping the skin’s surface cool for maximum patient comfort during treatment. When the dermis is heated, it triggers the body’s natural healing process, which promotes the production of new collagen over time. The increased collagen production in the treatment area leads to the replacement of sagging, loose skin with firmer, smoother skin over 3 to 6 months. The results of Thermage skin tightening can also be partially visible right after the treatment session, as the heating of the dermis causes the water molecules in the fibrous collagen in the treatment area to separate, leading to immediate skin tightening.

What is the best age for Thermage?

Thermage is FDA-approved for patients aged 30 to 60, making it highly effective for treating patients across the spectrum of the natural aging process. The age at which patients should start Thermage treatment depends entirely on each patient’s unique aesthetic goals. Those looking to focus on preventing fine lines and wrinkles may want to start Thermage treatment in their 30s, while those who want to address existing skin laxity can turn to Thermage in their 40s and 50s. Regardless of your age and aesthetic goals, Dr. Green will meet you where you are and help you develop a skincare and treatment plan tailored to your unique needs.

Is there any downtime necessary post-Thermage? When can patients return to normal activities?

Thermage is a safe and effective treatment with no serious side effects and no downtime, so that patients can return to their regular daily activities immediately post-treatment. Some patients may experience redness after the treatment, which resolves shortly after the procedure. Following the non-invasive procedure, Dr. Green recommends practicing strict sun avoidance by wearing sunscreen with SPF 30 or higher whenever you go outside and reapplying every 2 hours while in the sun. You can also practice sun avoidance by wearing protective clothing, such as a wide-brimmed hat and long sleeves. Dr. Green also recommends keeping the skin hydrated following the treatment by applying a gentle cleanser twice daily.

Are there any side effects associated with the Thermage skin-tightening treatment?

When receiving treatment from an expert, board-certified dermatologist, such as Dr. Green, Thermage is not associated with any severe side effects. With her ability to control the intensity of the wavelengths used in the Thermage device, Dr. Green can ensure patient comfort while delivering the best results. The procedure is safe and effective for all skin types, with the only common side effect being mild redness in the treatment area for an hour following treatment. This redness will go away on its own within an hour after the procedure. Receiving treatment from an inexperienced provider can lead to much more significant side effects, including blisters, burns, and hyperpigmentation. That is why, while an inexperienced provider may have better prices, it is always better to seek treatment from a board-certified provider.

The main contraindication for non-surgical skin tightening with Thermage treatment is having a pacemaker. Patients with a pacemaker, internal defibrillator, or other metal implants should not undergo skin-tightening treatment with Thermage radiofrequency. Please inform Dr. Green during your initial consultation for facial rejuvenation or body contouring if you have a pacemaker, an internal defibrillator, or any other metal implant.

What is the aftercare for Thermage?

Thermage skin-tightening radiofrequency therapy is a safe and effective treatment option that requires no downtime or significant aftercare. During treatment, patients typically do not experience discomfort due to the built-in cooling systems of the Thermage device. During each pass of the handheld treatment device, patients will experience a cooling sensation, followed by a heating sensation as the radiofrequency energy penetrates deeper layers of the skin. This sensation is not typically associated with pain or discomfort. Following the procedure, patients have no side effects, only some mild redness at the treated area, which may last an hour. However, these side effects will resolve without intervention, and patients can return to their normal activities immediately. Dr. Green recommends that patients avoid direct sun exposure in the weeks following the procedure to protect the skin from additional damage and achieve optimal results.

What are the best skincare products post-Thermage?

To best maintain the results of your Thermage session, Dr. Green always recommends using sunscreen as part of your daily skincare routine. Exposure to UVA and UVB rays can accentuate signs of natural aging, such as fine lines, wrinkles, hyperpigmentation, and skin laxity. As such, Dr. Green recommends that patients apply a broad-spectrum sunscreen of SPF 30 or higher every morning after cleansing and moisturizing. Additionally, Dr. Green often recommends using retinol and Vitamin C in patients’ skincare routines. Retinol, a vitamin A derivative, helps boost collagen production and promote skin cell turnover. Vitamin C, a powerful antioxidant, also increases skin cell turnover, brightens the complexion, and protects the skin from oxidative stress.

Gentle Cleanser

Dr. Green recommends that patients begin their skincare routine with a gentle cleanser to remove dirt, sweat, makeup, and other debris from the skin. Patients should use their cleanser in the morning and at night to clear their skin. After Thermage treatment, Dr. Green recommends an unscented cleanser, as scented cleansers can irritate the skin.

Moisturizer for hydrated skin

A light, gentle, and fragrance-free moisturizer is the best type to use after Thermage radiofrequency treatment. After thoroughly washing the face with a gentle cleanser and applying toner, patients should apply moisturizer to keep the skin hydrated. Products containing ingredients such as ceramides, niacinamide, and hyaluronic acid can help retain moisture in the treated area, reduce redness, and strengthen the skin barrier. Dr. Green recommends that patients look for products labeled for “sensitive skin” from brands like CeraVe, Cetaphil, Aveeno, and Neutrogena, or Dr. Green’s proprietary line of skincare products, MGSKINLABs.

Broad-spectrum sunscreen of SPF 30 or higher

To maintain optimal Thermage treatment results and prevent further skin damage, Dr. Green recommends that patients apply a broad-spectrum sunscreen with SPF 30 or higher every morning as part of their skincare routine. Sun damage is one of the major contributors to premature aging, including fine lines, wrinkles, sagging skin, pigmentation, and uneven skin texture. The best type of sunscreen is one that patients will wear every day. Dr. Green recommends that patients reapply sunscreen every two hours spent outside, or avoid going outside during the sun’s most intense hours, between 10 am and 2 pm.

Can I use vitamin C after Thermage?

Vitamin C is an antioxidant that improves skin texture and protects it against the negative effects of free radicals. Dr. Green recommends adding MGSKINLABs Vita-C-Serum to patients’ regular skincare routines. When applied morning and night, Vita-C-Serum helps promote skin cell renewal and support collagen synthesis. Ideal for patients with pigmentation and the onset of fine lines, this fast-absorbing serum revitalizes and moisturizes skin while improving texture and radiance. Dr. Green often recommends a vitamin C serum after Thermage treatment to help patients achieve optimal results and maintain the treatment’s effects.

Can I use retinol after Thermage? Can I use retinoids after Theramge?

Retinoids are vitamin A derivatives that are very useful in anti-aging skincare. When applied to the skin’s surface, retinoids like retinol boost skin cell renewal, new cell growth, and collagen production, improving skin texture and reducing the appearance of wrinkles on the neck. For patients looking to prevent signs of natural aging, such as uneven skin texture, increased skin laxity, and fine lines, Dr. Green recommends MGSKINLABs Essential Antioxidant Infusion: PM Retinol. Containing a pure concentration of vitamins A, C, and E, the Essential Antioxidant infusion helps with skin repair overnight. Patients must wear sunscreen while using retinoids, as they can increase the skin’s sensitivity to sunlight and the risk of sun damage.

After Thermage treatment, patients should wait one to two weeks for their skin to heal completely before using retinoids again. Once the skin is healed, retinoids such as retinol and Retin-A can enhance the results of Thermage treatment.

What to avoid after Thermage treatment: direct sun exposure, saunas, hot showers

To maintain the treatment results and prevent irritation, it is important to avoid certain activities after Thermage treatment. Staying out of the sun is important for maintaining the results of the treatment and preventing the appearance of signs of natural aging. As such, it is best to avoid direct sunlight and tanning beds after your Thermage treatment. Dr. Green also recommends avoiding hot environments, such as hot showers, hot baths, steam rooms, saunas, and strenuous exercise, for at least 3 days after treatment.

How to maintain Thermage?

Most patients require only one treatment session for excellent, long-lasting skin-tightening results, though individual results depend on the severity of the skin laxity. Thermage treatment uses radiofrequency technology to heat the inner layer of the skin, boosting the body’s natural healing response and increasing collagen production for smoother, tighter skin. Some patients with moderate skin laxity may need two Thermage treatments, spaced 6 months apart, to achieve optimal results. Dr. Green recommends that patients schedule annual follow-up appointments to maintain the treatment results.

How many years does Thermage take off your face?

Thermage delivers excellent, natural-looking anti-aging results. By tightening sagging skin, Thermage helps to improve skin laxity, reduce the appearance of fine lines and wrinkles, and promote a naturally more youthful appearance. The results of Thermage will vary from patient to patient, depending on the severity of sagging skin in the treatment area and the patient’s age. During your initial consultation with Dr. Green, you will discuss your aesthetic goals, and Dr. Green will recommend the treatment that best meets your needs.

How often should I repeat Thermage?

Thermage skin-tightening treatment provides patients with natural-looking, long-lasting results. Many patients require only one treatment session for optimal results that can last up to 2 years. Dr. Green recommends that patients schedule annual touch-up appointments to maintain the treatment’s effects over time.

Can you overdo Thermage on your face?

Thermage is a safe and effective treatment option for addressing sagging skin on the face, neck, chest, and body. The treatment works by boosting the body’s natural new collagen production for smoother, tighter skin. When you seek treatment from an expert dermatologist, such as Dr. Green, there is no risk in “overdoing” Thermage treatment. Dr. Green will recommend the number of treatment sessions that will best meet your needs.

What is the downside of Thermage?

Thermage is a highly effective, non-surgical skin-tightening treatment that is safe when performed by an experienced, board-certified dermatologist. For patients seeking a natural-looking, anti-aging solution to reduce skin laxity and the appearance of wrinkles, Thermage is the perfect choice. The results are long-lasting, with no downtime, and patients will only need a touch-up appointment once a year to maintain them. Patients seeking a more dramatic solution for skin laxity may find Thermage’s naturally youthful results insufficient and would be more satisfied with a plastic surgery procedure, such as a facelift. If you are unsure about whether Thermage is the right treatment for you, book a consultation appointment with Dr. Green to discuss your treatment goals, and she can help you determine if Thermage is best for you.

What can I combine with Thermage?

Thermage skin-tightening treatment can be combined with many other procedures, depending on the patient’s specific needs and aesthetic goals. Many treatment options are available at Dr. Green’s office for a complete non-surgical face and body rejuvenation.

Dermal Fillers

Dermal fillers are injectable treatments used for multiple cosmetic purposes, including reversing volume loss, reducing the appearance of fine lines and wrinkles, such as nasolabial folds, contouring the face, and augmenting the lips, jawline, or cheeks. Dermal filler treatment can be used on the hands and across many areas of the face, including under the eyes, in the cheeks, around the nose and mouth, in the lips, and along the chin and jawline. With a wide variety of formulations and active ingredients, dermal fillers can be safely used to address a wide range of cosmetic concerns, providing patients with smooth, contoured, youthful-looking skin. A non-invasive treatment, dermal fillers require no downtime following the injections, meaning patients can immediately resume their regularly scheduled activities. Dermal fillers are often paired with Thermage treatment to address volume loss and sagging skin simultaneously.

Combining Botox with Themage

Botox is an injectable neurotoxin derived from botulinum toxin type A that temporarily paralyzes certain muscles involved in movement, reducing fine lines and improving skin texture. Dynamic fine lines form over time due to repetitive facial movements, commonly affecting the forehead, glabella (between the brows), and crow’s feet. When injected into the treated area, Botox blocks neurotransmitters, causing the muscles to relax and smoothing out the skin. Patients looking to address sagging skin and dynamic wrinkles can turn to a combination of Botox injections and Thermage radiofrequency treatment.

Fraxel Laser Resurfacing and Thermage

One of the most common treatments to combine is Thermage and Fraxel lasers. Patients looking to improve skin texture, sun-damaged skin, and pigmentation can use the Fraxel Dual laser. Fraxel is a resurfacing laser that utilizes two wavelengths of energy for skin rejuvenation. Its 1550nm setting treats fine lines, wrinkles, uneven skin texture, and acne scars, while its 1927nm setting eliminates sun damage, sun spots, and pigmentation. The Fraxel Dual laser delivers fractionated energy to heat the inner layers of the dermis, stimulating collagen production and rejuvenating the skin. Patients often require a short series of sessions for the best cosmetic results.

Microneedling

Microneedling is a popular treatment option at Dr. Green’s office that helps boost collagen production by creating controlled micro-injuries. The microneedling handheld device is made up of many tiny surgical-grade needles that pierce the skin to trigger the body’s natural healing response, which triggers new collagen production for smoother, more evenly textured skin. Dr. Green often combines microneedling with platelet-rich plasma treatment, rich in growth factors, to improve healing. Most patients require 3-6 treatment sessions for the best results.

Chemical Peels

A chemical peel is a cosmetic procedure that uses an acid-based solution applied to the skin’s surface to exfoliate damaged cells and promote skin cell turnover, revealing smooth, clear, evenly textured skin. There are many types of chemical peels, ranging in concentration and active ingredients, that can serve different skincare functions. Depending on the type of chemical peel used, the treatment can address active acne outbreaks, reduce the appearance of hyperpigmentation (such as dark spots, age spots, and melasma), and improve skin tone and texture. As a highly effective and adaptable treatment, chemical peels rank among the top five most popular cosmetic treatments in the United States.

What do Thermage optimal results look like for increased skin health?

As we age, the production of the structural proteins collagen and elastin begins to decrease, leading to increased skin laxity (or loose skin) and accentuating the appearance of fine lines, wrinkles, and cellulite on the skin’s surface. On the face, loose, crepey skin is frequently most visible around the eyes with the appearance of crow’s feet and hooding on the eyelids, or in the formation of jowls on the lower face. When used on the face, Thermage tightens the skin, reducing hooding and crow’s feet around the eyes, and contouring the jawline. Thermage can also be used on other parts of the body, such as the neck, chest, arms, legs, abdomen, and buttocks, to address sagging skin and/or cellulite. Cellulite, a condition that affects up to 90% of women in the United States, is a common side effect of the natural aging process and develops when fibrous bands push fat cells toward the skin’s surface, resulting in dimpling. The appearance of cellulite can be further emphasized by high skin laxity, making Thermage an effective cosmetic procedure for reducing cellulite. Used anywhere on the body, Thermage provides patients with smooth, tight, youthful-looking skin.

How can I get started with Thermage treatment today?

Thermage is the gold standard for non-invasive skin tightening. Thermage uses radiofrequency energy to heat the deep skin layers, stimulating collagen production and tightening the skin. After just one session, Thermage can diminish skin laxity and sagging, with results lasting up to two years. It involves no downtime or side effects, making it convenient for patients to fit into their busy schedules. To maintain their results, patients can follow a targeted skincare routine and schedule annual treatments. If you’re tired of loose, sagging skin and want to rejuvenate your skin today, Dr. Michele Green in NYC is here to help.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over twenty-five years of experience providing her patients with the best non-invasive treatment options. Dr. Green takes a holistic approach and embraces a less-is-more philosophy, creating customized skincare routines and treatment plans tailored to her patients’ unique concerns and aesthetic goals. She is consistently recognized by Castle Connolly, New York Magazine, and Super Doctors as one of New York’s best dermatologists for her dedication to her patients and expertise. Please call us at 212-535-3088 or email our New York City-based office today to schedule a consultation with Dr. Michele Green and find out if Thermage radiofrequency skin tightening is the right treatment option for you.