Improve Laxity and Appearance of Wrinkles
The demand for safe and effective modalities to improve laxity and appearance of wrinkles has steadily risen over the last several decades. Although ablative laser technology and surgical treatment, such as rhytidectomy and blepharo- plasty, provide a proven, evidence-based method of rejuvenation of aging skin, patients often opt for procedures with less downtime and risk for compli- cations, such as pigmentary changes, scarring, and infection. The development of minimally inva- sive procedures, such as nonablative laser and ra- diofrequency (RF) treatments, has boomed since the 1990s, leading to a paradigm shift in the field of aesthetic medicine. Patients are willing to accept less dramatic results if there is minimal recovery and risk.
One such nonablative system, the Thermage CPT (Solta Medical, Hayward, CA, USA) uses mo- nopolar capacitively coupled radiofrequency (MRF) to tighten the skin and reduce laxity. This device garnered US Food and Drug Administration (FDA) approval for the treatment of periorbital wrinkles in 2002, facial rhytids in 2004, and all rhy- tids in 2005. Although there are other radiofre- quency devices on the market, Thermage has the most literature and clinical trials published to date that support monopolar radiofrequency as an effective modality for rejuvenation. Facial con- touring and mild to moderate tightening is achieved through volumetric heating and dermal collagen remodeling, and epidermal cooling and the maintenance of an intact epidermis protects the skin from complications, such as infection, scarring, and pigmentary changes.
What kind of results should I expect?
Everyone can expect some collagen tightening. Many patients have seen:
- Smoother, tighter skin with less sagging
- Redefined contours along the jaw line and under the chin
- Softening of wrinkles and fine lines around the mouth, eyes and forehead
- Tightening the saggy skin under the chin
How does it work?
As you age, the collagen in your skin breaks down resulting in wrinkles and sagging skin. Thermage uses patented radiofrequency (RF) technology to safely heat the deeper layers of your skin, stimulating existing collagen and promoting new collagen growth for younger looking skin.
How long will the results last?
The effects continue to improve for up to six months following a single treatment. Results can last for years depending on your skin condition and natural aging process.
How long before I can return to my normal activities?
There’s no special care needed after the procedure and most patients return to their regular activities immediately following treatment.