Thermage (Monopolar Radiofrequency)
Thermage heats the deep layers of the skin in a controlled way with monopolar radiofrequency energy, causing collagen contraction and stimulating new collagen production. It is usually applied in a single session and the effect emerges gradually over months. The tightening achieved is measured; where there is excess skin or marked sagging it does not replace surgery. Setting expectations correctly from the outset is decisive with this treatment.
How it works
Radiofrequency energy generates heat in the deep layers of the skin. That heat causes existing collagen fibres to contract and at the same time stimulates the production of new collagen.
The two effects appear at different times: a slight tightening from contraction may be felt early, while the contribution of new collagen emerges over months.
A marked difference should therefore not be expected immediately after treatment. Final assessment is usually made at six months.
What it provides and what it does not
The most common problem with this treatment is the expectation of a result comparable to surgery.
| Finding | Thermage suitable? | Why |
|---|---|---|
| Early laxity, skin still elastic | Suitable | Provides measured tightening |
| Surface quality deteriorated | Suitable | Collagen stimulation |
| Marked excess skin | Not suitable | The device does not remove skin |
| Advanced sagging | Not suitable | Surgery is required |
| Pacemaker or metal implant | Not performed | Radiofrequency contraindicated |
| Pregnancy / breastfeeding | Deferred | No safety data |
| Immediate result expected | Not suitable | The effect emerges over months |
Who it is not performed on
Radiofrequency is not used in people with a pacemaker, an implanted defibrillator or a metal implant in the treatment area. History is therefore taken.
It is deferred during pregnancy and breastfeeding, in the presence of active infection in the area, and in uncontrolled systemic disease.
A sensation of heat occurs during treatment; the device works with a cooling system but comfort varies between individuals. Temporary redness and mild swelling afterwards are usual.
Frequently asked questions
Does it replace a facelift?
How many sessions are needed?
When will I see a result?
How long does it last?
Is it painful?
I have a pacemaker — can it be done?
Related pages
Medical AestheticsAll non-surgical treatments.Op. Dr. Selman TaşkınPlastic, Reconstructive and Aesthetic Surgery Specialist · Reg. No 150440Surgery & AestheticsSurgical options and decision guides.The information on this page is for general guidance and does not replace an examination. Every patient's anatomy, medical history and expectations differ; suitability can only be determined through examination.
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