I'm really excited to be the 1st in the United States to have purchased the Thermage FLX by Solta Medical and to offer it to our patients at Miami Skin and Vein.
So what is Thermage? Thermage is a radiofrequency based skin tightening treatment and the FLX is the latest generation of the Thermage device. Thermage was the first radiofrequency device approved by the FDA in 2002 to tighten skin and treat wrinkles and since that time over 2 million treatments have been performed. Several different devices have become available since Thermage first came to the market approximately 15 years ago and these include Pelleve, Exilis, Venus, Viora, Ematrix, Tripolar, Infini, Fractora, Profound, and the list goes on. However, over the years, Thermage has remained the gold standard treatment for nonsurgical skin tightening with more treatments and more research behind it then any of the other devices.
The 4th generation of the device, the Thermage FLX, builds on the improvements made with the prior generation Thermage CPT. The FLX offers better results, quicker treatments, and more comfortable treatments because of a new energy delivery algorithm, larger spot size, and improvements in the vibrating handpiece. The new AccuREP energy delivery algorithm automatically tunes the energy delivered prior to EVERY pulse rather then only before the first pulse as was the case with the prior generations of the device. This change leads to improved efficacy, efficiency and comfort.
The Thermage FLX can be used on the face, neck and body. Thermage is the only FDA approved skin tightening treatment for the eyelids.
How does Thermage work? It uses radiofrequency energy to heat the skin. The heat stimulates initial collagen contraction followed by new collagen formation. Some results are seen immediately after the treatment and this is due to contraction of the collagen already present prior to treatment. Longer term, more substantial results are seen 2-6 months after treatment and this is due to collagen remodeling and new collagen formation (neocollagenesis). I believe that Thermage should be the cornerstone of any nonsurgical skin tightening treatment plan. Of course, not everyone is a candidate for nonsurgical skin tightening but for those with mild to moderate skin laxity, Thermage is my go to treatment.
I often combine the following treatments for what I call global rejuvenation or 4D antiaging:
- Wrinkle relaxers like Botox and Dysport for dynamic lines and wrinkles on the upper face and neck.
- Dermal fillers for static lines and wrinkles and to correct age related volume loss.
- Skin resurfacing using gentle lasers like the Clear + Brilliant, chemical peels, and microneedling to improve uneven skin tone and texture.
- Skin tightening with Thermage to lift the face, open up the eyes, improve jawline definition, and increase collagen.
I always try to bring these treatments together with a good at home daily skincare regimen which should include an antioxidant, sunscreen, retinol, and peptides. My favorite products are:
- Antiodixant - C E Ferulic by Skinceuticals
- Sunscreen - UV Clear by EltaMD
- Retinol - Retinol 0.5 by Alastin Skincare
- Peptides - Restorative Skin Complex by Alastin Skincare