Thermage Skin Tightening

Introducing Thermage® FLX!

The Thermage® FLX system is the latest innovation from the skin tightening pioneers at SoltaMedical®! Thermage® FLX is designed for effective and fast treatment of fine lines and wrinkles. The system utilizes radiofrequency (RF) technology to rejuvenate the skin from within.

Thermage® FLX works via a single handpiece that covers a greater surface area during treatment. This leads to 25% faster treatment times with the same great results!

Talk to your provider today to learn more about the benefits and improvements Thermage® FLX brings to the already amazing skin tightening benefits  Thermage® is known for.

Thermage® for Non-Surgical Skin Tightening

Thermage® can be used nearly anywhere where you are beginning to see sagging or looseness. Safe radiofrequency energy reorganizes collagen fibers to instantly tighten and provide ongoing tightening improvements for months to come.

*Individuals Results May Vary.

The Eyes

Thermage® smoothes fine lines and wrinkles on the upper and lower eyelids. Expect a lift and relief from eyelid hooding. See more about Thermage® Eyes

The Face

Thermage defines the jawline in a natural way and improves the appearance of sagging, wrinkled skin.

The Body

Thermage helps smooth bulges and uneven, dimpled skin. It is especially effective for abdominal skin that has lost tone and has a crepey appearance.

What is Thermage® CPT?

Thermage® is a patented radiofrequency (RF) technology that has been clinically proven to tighten skin, renew facial contours, tighten loose and sagging eyelid skin, and improve the appearance of cellulite.

Thermage CPT incorporates an advanced treatment tip for more uniform and longer-duration deep dermal heating (the action which creates the tightening). An innovative vibrating handpiece makes treatment more comfortable.

How Thermage® Works

Thermage® uses a sophisticated treatment tip called Thermatip™, which delivers a controlled amount of Radio Frequency energy. As the heated tip is applied to the skin, the Thermatip™ device uniformly heats a large volume of collagen in the deeper layers of the skin and its underlying tissue while simultaneously protecting the outer layer of the skin with cooling. This deep uniform heating action causes loose collagen 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.

In May 2013, Thermage® introduced the Total Tip – an improved version of Thermage® effectiveness with deeper heating, increased coverage and faster results.

Why Are “Comfort Levels” Such a Big Factor?

Originally, Thermage® was, quite frankly, a painful procedure. In order to effectively heat the tissue levels to start the collagen firming and production, the heat levels have to be high. This, in turn, made the first-generation Thermage® admittedly a tough procedure for a majority of patients to tolerate. Turning down the sensation of heat without actually turning down the heat means we can get better tightening results because patients can tolerate a higher level of energy.



CPT Explained

Vibrational delivery interferes with the signals sent to the brain about pain. End effect? You feel vibration and massage instead of heat. Tip advancement delivers the heat more uniformly so there are no “edges” of heat perception. Smooth heating helps minimize the body’s differential heat perceptions. Thermage® is a tightening and firming procedure and will not deliver the same results as surgery. It is a patented, FDA approved procedure which will tighten collagen that has loosened with age or skin stretching (as in weight gain and loss or pregnancy). New collagen helps reduce wrinkling and sagging by the application of heat which affects the collagen support layers of the skin. The appeal of Thermage® is the nonsurgical nature of achieving this firming and tightening. Patient satisfaction is high. Over half a million patients have been treated with Thermage® technology. Not everyone is a candidate for Thermage®. Skin thickness, degree of laxity (looseness), amount of skin sagging, and overall skin condition and tone are factors used in determining the potential benefits of treatment. A professional consultation with Dr. Pilest will determine suitability.

Am I a Candidate?

If your skin laxity levels are beyond the scope of Thermage®, you will be advised to see a plastic surgeon for assessment. Initially, your skin will be cleansed to remove any residual oils. A sheet of paper with grid markings will be transferred to your skin to indicate which areas might need additional tightening and to guide Dr. Pilest or our Thermage® nurse and assure full coverage of the area to be treated. Much like making alterations to an article of clothing, the Thermage® treatment is customized to provide the most benefit for each individual patient. A special pad will be placed on your back. This pad completes the “circuit” for the RF energy. You will lie on a comfortable table and a paper transfer will be used to place a “grid” on the areas of your face to be treated. This grid ensures complete and uniform treatment and assists in the customizing of the treatment. Some areas will require more “passes” of the Thermatip™ than others to achieve the desired results. During the treatment, you will be asked to provide feedback on the level of heating you feel from the RF pulses. This feedback allows the best selection of RF energy levels to be used and makes certain you remain comfortable throughout the procedure. Once the treatment is completed, the grid is removed. You will experience a brief, deep heating sensation as the RF energy is delivered to your skin and underlying tissue. The vibrating handpiece dramatically changes the perception of discomfort and many patients have compared the procedure to a massage.

What Results Can I Expect?*

The deep heating sensation is your indication that your collagen is reaching effective temperatures for tightening. Dr. Pilest or the Thermage nurse controls the amount of energy delivered to balance procedural comfort with maximum results. You will experience a short blast of super-cooled air immediately before and after each pulse, which helps to significantly add comfort to the treatment. A single Thermage® treatment has produced results in the majority of patients. Results are generally fairly subtle and will not give you a “just treated” appearance. Some patients are more proactive and choose to have annual procedures to further tighten the skin in the lower face or to maintain a firm and sharp jawline. 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 have reported seeing an earlier response. The Thermage® procedure causes immediate tightening of the collagen structure, with additional tightening over time. Unpublished reports by experienced cosmetic physicians indicate that results may last 24 months or longer based on the patient’s natural aging process. Thermage® has an excellent safety record. Patients with pacemakers may not be treated with Thermage®. Most people return to their regular activities immediately following the Thermage® procedure. Some people experience mild redness (like a sunburn), but it usually disappears quickly. No special care is needed after treatment unless otherwise instructed by Dr. Pilest or our Thermage nurse.


We love our patients at Total Dermatology! Read what our satisfied patients have to say about their experiences with Dr. Pilest and our team.

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*Individual Results May Vary

Thermage® Benefits Over Surgical Procedures

  • No recovery or patient downtime
  • Patients may return back to work directly after the procedure
  • No cutting, surgical drains, sutures or bruising
  • Less costly, non-invasive method
  • No special follow-up regimen

“I was very pleased with how you handled my Thermage®. I already see results particularly around the chin and I am so pleased.”

“You were very helpful and answered lots of questions and concerns. Again, I had a very positive experience and enjoyed your staff and appreciated your time and help with the Thermage®. I was quite nervous and it went so well and so easy.”

“… I am so excited about this treatment I am carrying around my before pictures which were taken in your office. I am 2 months post-treatment and the results are beyond amazing. The next few months should only reveal more incredible results. I am telling everyone how excited I am about this procedure and you are more than welcome to share my joy with other patients.”

*Individuals Results May Vary.

Take the First Step – Request A Consultation

Schedule your consultation with board-certified dermatologist Dr. Nissan Pilest at Total Dermatology in Irvine, CA today by calling (949) 727-3800

*Individual Results May Vary