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Plastic Surgeon Beirut Lebanon
Skin Rejuvenation and Tightening - Non-Ablative RadioFrequency with the THERMAGE TC

  What is THERMAGE?

Thermage is a radio-frequency device that tightens skin without surgery. It was developed as a result of extensive research by Thermage, Inc, and is still the leading facial skin tightening technology in the world.

The Thermage device gently delivers deep, intense, uniform, sustained heat in the collagen layer underneath the surface of the skin just like an iron that is heating only the inner lining, therefore the epidermis is protected and left intact. This will produce contraction and tightening of excessively lax skin, and significant reduction of oil glands activity.

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. Treating the cheeks and upper neck reduces flaccidity, which reduces deep folds, and restores the oval shape and jaw line of the face.

Eyelid skin can also be treated with a specifically - designed tips. Patients get 20 - 50% improvement in eyelid laxity in a single session, therefore delaying the need for surgery in this delicate area.

Before (left) and 6 weeks after a single treatment (Dany Touma, M.D.)
Before (left) and 5 months after a single treatment of the forehead(Dany Touma, M.D.)

  How does the treatment work for acne?

The treatment leads to normalization of the function of sebaceous glands, and an anti-bacterial effect. Therefore, it has a positive effect on acne, especially in the case of cystic acne. In many cases the treatment allows the avoidance of potentially toxic treatments like Isotretinoin (Re-Accutane).

Acne, before and 3 months after a single treatment

  Is it painful?

With each pulse of Thermage, there is a sensation of heat in the area. Fortunately this heat sensation lasts only fractions of a second and is followed by a cool sensation, which also helps improve comfort. This is the result of the use of cryogen spray, which is delivered before, during, and after the application of heat.Pain killers and a sedature are always given. Dr.Touma’s 10 years experience with Thermage, the treatments were all well tolerated.

Thermage Eyelids
Thermage Eyelids

The procedure itself may take anywhere from 15 to 45 minutes, depending upon the size of the area treated, preceded by 30 minutes of waiting time for the oral analgesic to take effect. In most patients the results are seen immediately, and will continue to develop gradually over 2 to 6 months. Since the effects are so gradual, the patient usually may not be aware of the extent of the changes but will notice a freshening of the appearance of the face. Photographic comparisons typically will demonstrate the changes.

Patients are advised to use topical creams or medicines that help promote good collagen production, such as vitamin C and proteins. Smoking avoidance and sun protection are also important. We recommend taking some skin specific supplements and using tightening creams.

Patients return to normal activities immediately after the treatment, as there is usually no down time. Minimal redness is seen in some patients but it normally disappears within an hour. Swelling, bruising, and pain do not occur after the procedure.

Before (left) and after treatment with radiofrequency (Courtesy Thermage, Inc.)

For most patients one treatment is enough. Repeated treatments are beneficial and may be done as of 1 month after the first treatment. Acne patients usually require 1-2 treatment sessions.

  How long will the effects last?

Over 90% of patients appreciate the results seen with Thermage and improvement tends to last several years. Maintenance treatment is usually recommended every 12 to 18 months.

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