Thermage is a safe FDA-approved noninvasive cosmetic procedure, with no downtime. It’s clinically proven to tighten, contour, lift, and rejuvenate the skin in a single treatment by reshaping your skin’s innermost structures.

Immediate results are usually visible and they continue to improve for six months.

Thermage technology uses radiofrequency energy to tighten skin that has lost its elasticity due to aging, sun exposure, and genetics. Safe for patients of all skin types and colors, Thermage is used to tighten skin on various areas of the face and body, including the neck, eyelids, abdomen, and hands. Each area requires different treatment tips, designed specifically for the region being treated.

How Thermage works

Thermage system uses a sophisticated treatment tip, which delivers a controlled amount of radiofrequency (RF) energy. With each touch to the skin, the Thermage treatment tip device uniformly heats a large volume of collagen in the deeper layers of the skin, and its underlying tissue. It simultaneously protects the outer layer of the skin with cooling. This deep uniform heating action causes deep 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.

The results from a single treatment will last for years.

Thermage works in a manner similar to shrink-wrapping. A cooling phase protects the epidermis, and then a short pulse of heat is delivered to the dermal collagen. This is followed by a cooling phase to keep the heat in the dermis. Thermage gives an instant and subtle improvement, due to the immediate contracture of the existing collagen in the dermis. This initial result progressively improves, over a period of from two to three months, as the body makes more collagen in response to the initial Thermage treatment.

Six specific regions of the body are treated with Thermage using site-specific technology:

Face by Thermage

Thermage can be used to lift sagging eyebrows, to raise and sculpt cheekbones, and to redefine the jaw line. It can tighten wrinkled skin and give you a revitalized, more youthful appearance.

The full list of areas treated on the face include:

  1. forehead and area around the eyes
  2. mid-lower face: includes the cheeks, area around the mouth, jaw line, jowls, and area under the chin
  3. lower face/submental: includes the area around the mouth, chin, jaw line, jowls, and area under the chin
  4. full face

If you’d like to learn about Thermage treatments for the body, please visit our Thermage for Body Skin Tightening page.

Neck by Thermage

Thermage is a popular nonsurgical treatment to improve the appearance of loose neck skin and “double chins.”

Eyes by Thermage

A special eyelid tip allows for the treatment of eyelid skin, helping to tighten the loose skin of the upper eyelids, and to tighten and smooth the skin of the lower eyelids. Dark undereye circles are diminished, fine lines are softened, and undereye bags become less apparent.

Reflection's Thermage Media

The Thermage procedure system is FDA-cleared to improve the appearance of cellulite. The cellulite procedure is the newest in a suite of procedures under the Body by Thermage™ umbrella, which provides contouring and tightening of the skin of the abdomen, arms, and legs.

The cellulite-fighting device by Thermage underwent extensive clinical evaluation over a period of approximately 21 months before its release. The treatment requires no downtime and provides long-lasting results after only one treatment. Results become evident a short time after the procedure and continue for up to six months. Side effects are rare.

Frequently Asked Questions


Medical Director at Reflections Center

Dr. Mitchell Chasin founded Reflections Center for skin & body as a place where physicians specializing in cosmetic medicine could focus on helping empower patients to feel their most beautiful. Dr. Chasin believes strongly that the best cosmetic physicians are those who are dedicated to mastering their craft through continuing education and collaboration with the industry’s top doctors.