ThermaCool

ThermaCool® is a radio-frequency device that allows for tightening of skin without injury to the skin's top layer (epidermis). It was developed as the result of extensive research by ThermageTM, Inc. (Hayward, CA).

How does the ThermaCool® work?
Deep, intense, uniform, sustained heat in the tissue underneath the surface of the skin will produce contraction and tightening of excessively flaccid or lax skin.

Where on the face is it applied?
Tightening skin in certain key areas can be advantageous for cosmetic improvement, for example: Treating the skin of the forehead can lift the eyebrows and enhance the appearance of the eyes, making the eyes look more open, less tired, more alert. Previously, this result could only be obtained with major surgery or Botox. Other areas of the face such as the skin of the cheeks can also be treated to reduce flaccidity, which produces deep folds with aging. Other applications are currently being tested.

Is it painful?
Each time the machine is fired, there is a sensation of heat in the area. An anesthetic cream applied one hour before the procedure will make this quite tolerable. Fortunately this heat sensation lasts only fractions of a second and is followed by a cool sensation, which also helps with the discomfort felt. This is the result of the use of cryogen spray, which is delivered before, during and after the application of heat.

How long does the procedure last?
The procedure itself may take anywhere from 5 to 20 minutes depending upon the size of the area treated.

Do I need special preparation?
You may continue the use of your topical creams or medicines taken by mouth up until the time of the procedure.

When can I return to my normal activities?
You may return to your activities immediately, as there is usually no down time. Minimal redness is seen in some patients but it disappears within one hour. Swelling, bruising, and pain are uncommon after the procedure. There is no special care needed afterwards either, unless you develop crusting which can occur rarely. If crusting is seen, then Bacitracin or Polysporin should be applied twice daily.

When will the results show?
Although in some patients the results are seen immediately, in most patients they will appear gradually over 4 to 6 months. Since the effects are so gradual, the patient may not be aware of the extent of the changes. Photographic comparison with pre-operative pictures usually will demonstrate the changes.

How many treatments will I need?
For many patients one treatment will suffice. Repeat treatments may be needed for others.

When can I have another treatment?
A decision regarding further treatment can be made as early as one month, however, since benefits are delayed further treatment may not begin for 1 to 3 months.

How long will the effects last?
The studies to date demonstrate that there may be a variable response.

How safe is it?
It is extremely safe. Although this is a relatively new procedure and a new technology, great effort has been made to make it as safe as possible. The number of adverse effects is extraordinarily small.