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posted by: isabelle
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Posted Fri, Jul 11 at 1:50 PM PDT
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Hi everyone,
Due to requests from everyone, we've made Thermage its own topic so you can conveniently talk about it here.
Enjoy!
The MMH Team |
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There are 106 replies to the above message:
posted by: breezy | | Posted Fri, Jul 11 at 4:52 PM PDT | | Hi, I would love to hear from others who have had or are considering thermage. I had the proceedure July 3 and am still a bit swollen. It hurt more than I expected but was over pretty fast and there is very little down time. If a reader of this has had the proceedure would yu let me know how you feel about it? Any results, regrets, advice etc. Thanks, also if you would like to e mail me my address is breezy1936@netscape.net. |
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posted by: nerak | | Posted Mon, Jul 14 at 4:51 PM PDT | | Breezy, Please keep us updated on your Thermage treatment......my dermatologist recommended it for me, and I want to know what it was like, and if you are pleased with the reults! Thanks, Nerak |
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posted by: breezy | | Posted Thu, Jul 24 at 10:07 AM PDT | | So far I would have to say the jury is still out. It will be 3 weeks today since I had it done. I had lots of swelling, I will attach a picture. That is almost gone. You just have to wait and see what happens. I had a depth of 16 during the proceedure and it was pretty hot for a few seconds despite as much numbing as was possible. I am 67 so if you are a bit younger you might be able to get results with less depth and heat. Just see I can't attach photos. e mail me at breezy1936@netscape.net and I will send photos. |
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posted by: kaley | | Posted Sat, Oct 18 at 4:14 PM PDT | | Hi, I'm new to this site and am very interested in the outcome by now of your procedure, where you had it done and how much did it cost. I'm mid 50's, considering it, my derm doesn't do it and recommened someone else. She explained though that the procedure is different for everyone, but people with thin skin ususally have the best results. Has anyone heard this before? Hope you're loving your results by now! Thanks for any info you might have. |
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posted by: beej | | Posted Wed, Aug 27 at 7:12 PM PDT | Hi Breezy,
I had Thermage done on August 15, 2003. My whole face and neck except for my forehead.
My neck needed it the most and it's still a little sore. I also developed a few small cysts under the neck skin that were very tender. But my doctor said they would go away and they are.
I had him crank the machine up to 16-1/2. Wanted to get this done in one treatment. The higher the pulse the more it hurt. But I'm glad I did it - just too soon to see results.
Beej |
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posted by: nerak | | Posted Fri, Sep 5 at 10:54 PM PDT | | How are feeling now? Are you glad you did the Thermage? See any results? I can't decide if I want to do my neck! |
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posted by: beej | | Posted Sun, Sep 7 at 8:55 AM PDT | Hi Nerak,
Am going to my doctor's office in the next week to see my "before photos" to compare. My neck seems to be a bit tighter, but it's only been 3 weeks. Will keep you posted.
Beej |
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posted by: debb | | Posted Mon, Nov 3 at 11:09 AM PST | let me know how it looks now thanks,
Debb |
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posted by: maew | | Posted Thu, Sep 11 at 10:42 AM PDT | | i didn't have my neck done, had mid face done on monday the 7th..still very swollen and bruised..however, now my neck seems wobbly, which it wasn't prior to this. help! |
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posted by: jk59 | | Posted Fri, Sep 19 at 6:35 AM PDT | Nerak-
It sounds like you had a very positive experience. Where in ATL did you have the procedure done and what was the cost? |
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posted by: jeanette | | Posted Thu, Sep 25 at 4:10 PM PDT | | Hi I'm considering thermage. went for a consult today. I was able to ask specific questions because of this board. I'm a little leary about beng swollen or blistered with to much down time. Any comments on this. Has anyone done this procedure and got results they expected. Its so new, the docs are real sure either. I live in Calif. Any doctor recommendations appreciated too. |
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posted by: Graceful | | Posted Sat, Oct 25 at 12:39 PM PDT | I had my procedure done 2 months ago, forehead, cheeks and temples and neck plus lips.
The misconception, according to my doc, is that you need to treat at super high levels. That is when burns, bruises and blisters are more likely. The whole treatment is based on stimulating the healing, not burning beyond relief!
I have seen gentle improvements over time. My neck had an almost immediate tightening and I was only treated at 13. I am very happy and have recommended it to a couple of my neighbors who were asking about my different looks!
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posted by: melaniemelahn | | Posted Fri, Dec 12 at 11:29 AM PST | | I went for a consultation for the Thermage yesterday for my cheek area. It sounds great, however, I want to really know from someone if it works and/or if they have had any bad experiences with it please. The price is pretty steep. 1000 for the forehead, 1500 for cheeks. |
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posted by: bodey | | Posted Fri, Feb 27 at 6:46 AM PST | | Graceful, please let me know how you are doing. |
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posted by: jeanette | | Posted Thu, Sep 25 at 6:01 PM PDT | | Hi I had a consult today and am considering, although worried about down time from swelling. any comments appreciated. Also any recommendations for docs in theCalifornia area? |
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posted by: Overfiftyandsagging | | Posted Tue, Dec 16 at 5:34 PM PST | Hey Breezy.. It's been some five months since you had your procedure now. I'm curious if you feel it was worth the trouble and money. If you had it to do again would you? Or would you put that money toward a conventional face lift?
If you'd like to send some before after photos, I'd welcome the insight.
My e-mail address is susanswan@earthlink.net Thanks Breezy. |
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posted by: rains | | Posted Thu, Dec 23 at 7:40 PM PST | | hi breezy, i was just wondering how you were doing since the thermage treatment? i was thinking about doing it myself by im a bit skeptical. are you happy with the results? would you do it again? well hope all is well, hope you have a merry christmas! |
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posted by: slarocco | | Posted Fri, Jul 18 at 11:54 AM PDT | | What is Thermage? I never heard of it. |
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posted by: breezy | | Posted Thu, Jul 24 at 10:12 AM PDT | Here is a link to an article in the LATimes that explains it.
C:\My Documents\thermage.htm |
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posted by: breezy | | Posted Thu, Jul 24 at 10:22 AM PDT | I think this copy and paste of the times article might work better.
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May 26, 2003 E-mail story Print
Face-lifts, one cell at a time
New treatments are getting under the skin to smooth wrinkles -- without a single cut or burn.
Photos
Light therapy
(Tyrone Turner / For The Times)
Times Headlines
more >
By Shari Roan, Times Staff Writer
Traditionally, treatments to lift sagging skin and smooth wrinkles have relied on surgery, lasers and chemical peels -- all of which require days or weeks of healing and, often, hiding.
But dermatologists and other doctors who specialize in cosmetic or laser surgery say they are rapidly developing methods to beautify the body without so much as a needle or a knife.
These procedures, loosely referred to as non-ablative therapies (meaning no cutting is involved), are already making their way into the marketplace in major cities.
Unlike more common treatments, which alter the top layers of skin by damaging them, the noninvasive methods focus on tissue beneath the skin. Using special frequencies of light or radio waves, the techniques trigger cellular changes that produce gradual benefits over a period of months. These "rejuvenation" procedures don't produce the dramatic effect that traditional therapies provide -- no one would be a candidate for "Extreme Makeover." But they also don't require seclusion.
"In the past, we've been limited to things in which people have had to take time off work," says Dr. Tina Alster, director of the Washington Institute of Dermatologic Laser Surgery in Washington, D.C. "With non-ablative techniques, we're talking about not destroying the top layer of skin. This is the most cutting-edge we have in lasers and light sources."
The new treatments, which are typically less expensive than surgery, are best suited for people in their late 30s and 40s, when skin usually begins to show signs of aging.
"It is not replacing face-lifts and surgical lifts," says Dr. Ron Moy, a UCLA dermatologist and a leading researcher on new technologies. "It's for the younger age, [people who] just need a little bit of work."
Although some doctors say more data is needed, especially on the long-term effects, others expect the new light and radio-wave techniques to fill a large niche in cosmetic procedures.
Seeing the light
The light-based therapy may seem the more unusual, if not bizarre, of the rejuvenation techniques. Patients sit in front of an array of blinking lights for a few minutes -- then go home.
Several devices based on the principle, known as photo modulation, are in development, but the one that has undergone the most scientific testing is called GentleWaves. It consists of a panel of tiny light-emitting diodes, which use the same low-wattage technology as digital clocks and car dashboards.
The device was an outgrowth of NASA research designed to help plants grow in space. Researchers say the light energizes the cells, much in the same way that a plant absorbs and uses the sun's energy. The diodes, specially calibrated to a certain frequency, stimulate the cell's mitochondria, causing genes to turn on and cells to regenerate, they say. The result is the production of new collagen and elastin, the materials that give the skin plumpness and elasticity.
Honey Selinger, 50, underwent the therapy last year. After donning goggles, she sat in front of the panel of blinking lights for two minutes. She felt nothing.
"I said, 'Is this really going to work?' But I think I've seen an improvement," said Salinger, reporting that the fine lines around her mouth and eyes softened after the treatments. "It's incredible. And it's simple."
Some doctors are already offering the treatment, although it has not yet been approved by the Food and Drug Administration as a medical device. Data presented at a meeting of the American Society for Laser Medicine and Surgery last month suggests that GentleWaves causes cellular changes that improve wrinkles, skin tone and color, and pore size.
One study of 47 patients showed an average improvement of 44% in the appearance of wrinkles, skin tone and texture. Another study, of 90 women, showed that 62% experienced improvement in wrinkles and skin texture around the eyes.
"At first there was a lot of skepticism," says Dr. Robert Weiss, an assistant professor at Johns Hopkins School of Medicine. "But we've done so much science on this."
Dr. Peter Fodor, a Los Angeles plastic surgeon and president-elect of the American Society for Aesthetic Plastic Surgery, says most doctors are awaiting more data before recommending the light therapy.
"Anything that is not vetted first in peer-reviewed journals is usually a very quickly passing fad," he says.
GentleWaves treatments are typically done twice a week for four weeks. Although researchers say there are no side effects, they don't know how long improvements last. Exposure to the sun and progressive aging could undo the benefits over time.
The treatment, which costs about $1,200 for the series of treatments, appears to be best suited for people in their late 30s to mid-50s, Weiss says.
Cell-altering waves
The other new, non-ablative technique uses radio waves to reach deep into the skin, altering cells in the dermis.
Already, the Food and Drug Administration has approved the first radio-frequency device for nonsurgical skin tightening. Called Thermage, the procedure was approved in November for the treatment of wrinkles in the eye area. Research presented at the American Society for Laser Medicine and Surgery indicates that Thermage also may be applied to many areas -- including the jowls, neck, breast, upper arms, thighs and stomach.
Moy is currently conducting a study of 90 patients using Thermage on one side of the face to better determine its effect. "You can see the part that has been treated is much different," he says. "For the right patient, it's an alternative to surgery."
During Thermage, a cryogen spray cools the skin's surface while radio waves are applied to the deep layers of skin. The energy appears to cause the collagen to contract and tighten and prompts, over time, new collagen growth. That growth further tightens the skin.
"We know it causes submicroscopic wounds in the skin," says Dr. Richard Fitzpatrick, an associate clinical professor of dermatology at UC San Diego. "It's the healing of those wounds that results in the tightening of the skin. Some patients have immediate results, but most of them see the results gradually."
A study of 86 patients who received a single treatment found that 80% experienced significant improvements in wrinkle severity. The changes usually began to appear after four to six weeks and continued to improve for up to six months, according to research presented at last month's laser meeting. Studies also have shown that the treatment lifts the brow and reduces droopiness of the upper eye lid. The overall effect is of a wider-eyed appearance or, as doctors often put it, a "brighter" eye appearance.
Since the surface skin is protected, there are no visible side effects, although early studies resulted in some small burns on a few patients. Nancy Klinger, 53, who describes herself as "anti-cutting," says she did not want to have a surgical face-lift. But the Chatsworth woman agreed to enter Moy's Thermage study late last year after "moaning and groaning" to the doctor about her appearance.
Now, she says, "I have my 30-year-old eyes again."
"People come up to me and say, 'You look great.' No one knows you've done anything because the improvements are so gradual."
The procedure is painful, though tolerable, Klinger cautions. "When the heat gets to the maximum point there is this terrible little pinch, and then it goes away," she says.
The results can vary from person to person for reasons that doctors still don't understand. "We should be able to eventually figure out why some people are getting good results and extend that to everyone," Fitzpatrick says.
In the meantime, consumers should be cautious about radio-frequency therapy, advises Dr. Jeffrey M. Kenkel, a Dallas plastic surgeon who spoke at last week's meeting of the American Society for Aesthetic Plastic Surgery.
"It does have the potential to tighten the skin, but it may not work in some people," he says. "I think it's clear that this technology is not going to replace surgery. The patient who will benefit from this isn't the older patient with a lot of skin sagging and a lot of sun damage."
Many of the studies on radio-frequency therapy have been performed by doctors with a financial interest in the product, Kenkel says, adding that additional independent research should be performed.
"We need to step back a bit and let people get experience with the technology and get some results, and then we can accurately inform patients about what this can and can't do," he says.
Doctors also aren't really sure how many treatments are necessary. And no one knows how long the results will last although it appears to be at least one year.
Thermage costs about $1,000 to $1,500 depending on how large an area is treated.
New therapies
Both radio-frequency therapy and photo modulation are just beginning to be offered by dermatologists and other skin specialists in major cities, and whether they will lure more middle-age Americans onto the skin rejuvenation bandwagon remains to be seen. Doctors, however, say the new therapies represent the beginning of a trend in noninvasive methods to beautify skin.
Says Kenkel: "We have to give patients what they want. A lot of patients don't want surgery."
If you want other stories on this topic, search the Archives at latimes.com/archives.
Click here for article licensing and reprint options
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posted by: Trish | | Posted Tue, Sep 9 at 5:55 PM PDT | | Hi, I just had Thermage done today on my forehead and temples >> 2 passes one setting was 13 and the other on 10 >> Only one area was quite uncomfortable, but not unbearable, by the way I did not have anything for pain or even numbing cream >> I ask the Dr. about the setting of 16 and she said she never used that high a setting, they have not had one patient to have any blistering yet>> maybe due to low settings, but they did go over the forehead twice >> i already see some lifting, which may be temporary >> i feel this is too early to see any permenant results yet >> I don't expect much lift, but i don't need much lift. If i see good results i plan to have my complete face done again in 3 months >. the cost for the forehead was $1,000. The complete face will be $1,800. that includes 2 passes in certain areas. |
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posted by: maew | | Posted Wed, Sep 10 at 4:56 PM PDT | | i don't know what number she set the wand on. how would i find out, if she didn't tell me. i had to travel 7 hours for this to be done, and won't be headed back there soon. thanks |
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posted by: maew | | Posted Thu, Sep 11 at 10:44 AM PDT | | how are you doing? let me know |
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posted by: laserbeam | | Posted Fri, Nov 7 at 9:16 AM PST | I am in Northern California, is there a Dr. that anyone can recommend that does the Thermage procedures?
thanks |
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posted by: maew | | Posted Wed, Sep 10 at 4:54 PM PDT | i had my lower face done on monday,,,very swollen, very bruised, including my eyes, which look like i've been punched in the face. i'm very upset, and won't go anywhere. ANYONE who thinks there is no downtime with this procedure is very wrong.
does anyone know how long this will last? my doc says it's normal. thanks |
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posted by: hawki | | Posted Thu, Sep 11 at 7:28 AM PDT | I am having thermage done tomorrow. I am 40 and am having this done in Des Moines, Iowa. You who are bruised -- what caused this? Was it the thermage or injections? I was told that the only real side effect of thermage was redness and maybe a little lingering pain.
I understand that I have the option of getting shots in my face -- they told me it would be 5 -- of some novalkane type topical pain reliever - prior to thermage - to offset the thermage heat/cool pain, or they give one shot of Demeral in the arm. I have had botox before and it gave me bruises - black eyes to be specific -- I was told after that if I have taken Ibuprofen within 10 days of Botox that I should not have had the injections because of bruising. Please let me know -- thank you. I understand how hard it is to explain to neighbors etc. why you are all bruised. |
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posted by: maew | | Posted Thu, Sep 11 at 8:07 AM PDT | hi. i think the original bruising was caused by the novacain,lanacain. wherever she did an injection it bruised. however, i only had my lower face done, not eyes or neck, and she didn't go near my eyes, but i have two big shiners! the thermage itself didn't really hurt, just more uncomfortable. however the swelling is a bitch, and my bruises are very dark. the next day she told me it was because i'm irish and that my skin is fair...and it is normal.
sure doesn't feel normal.
my email is
carriemm@hotmail.com
if you want to email me. good luck |
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posted by: beej | | Posted Thu, Sep 11 at 3:13 PM PDT | Hawki,
Depending on your pain threshold, you may want to consider just using the numbing cream. My doctor does not use injections due to the bruising. Towards the end of my procedure it really did hurt, but he had the machine on 16-1/2. When he turned it down to 14 for the touch-ups it was a little uncomfortable - but bearable.
Afterwards I was fine.
Hope this helps.
Beej
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posted by: hawki | | Posted Fri, Sep 12 at 7:10 AM PDT | | The Dr. suggested either novacane (sp?) type injections in the face -- if I were driving myself or if someone else was driving then one pain reliever shot in the arm -- from what I have read Thermalage itself would only cause bruising rarely -- I would like to know if anyone has experienced bruising (eye area) when they did not have any pain-relieving injections in their face. (btw) I have postponed my treatment for a few weeks to further study -- I just cannot handle having black eyes. I had botox and had a black eye for 6 weeks, I just got sick of the commentary from everyone. |
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posted by: bizemom7 | | Posted Fri, Sep 12 at 7:40 AM PDT | Hi there,
I had Thermage done about 4 1/2 months ago in Washington at Dr. Isaacson and Berzin's office. The doctor did not do any injections on my face. As a matter of fact, he discouraged it all together. I was a little uncomfortable, but it was bearable. I did alot of research on the procedure before even considering it and I too read that bruising was almost impossible unless they hit you with the treatment wand.
Bizemom7 |
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posted by: maew | | Posted Fri, Sep 12 at 9:53 AM PDT | dont' do the needles..that is what caused my bruising, i'm certain! right on the corners of my nose, and it numbed the whole side of my face..and it still feels numb there, just under a week from the treatment.
if you can stand the jolt of heat, which really is tolerable, then do it that way. however, some people do experience swelling, it is not unusual. i am still swollen, look like a chipmonk, tho one side is subsiding somewhat. thanks. and good luck. |
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posted by: hawki | | Posted Fri, Sep 12 at 10:50 AM PDT | | Those who have experienced swelling -- I am curious about past procedures you have had such as peels, microdermabrasion, etc. and if that caused swelling too? Thank you. |
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posted by: nerak | | Posted Fri, Sep 12 at 3:31 PM PDT | | Hi... I had my thermage treatment today (Atlanta,GA). I am 41 and had my whole face done. The Doc first put numbing cream on for 30 minutes, plus I took a Valium and a Lortab before procedure(prescribed by Doc). It took appx 45 minutes. It felt like 3 sec jabs of a hot poker...just when it got really unconfortable, the pain stopped. It was bearable....but, I'm sure the pain meds helped. She did varying degrees of heat settings (from 12 1/2 to 16)... Depending on the areas of the face. I was sure I'd leave with polka dots all over my face, but my cheeks were only slightly pink when I left. It felt like a slight sunburn. I never felt bad all day, except foggy from medicine. It is now 7 hours later, I am absolutely fine. My face looks normal. Of course, I can't see any results yet! I'll keep you all posted. The Doctor told me she had never had any complications, other than very minimal swelling. The only person who was burned was just slightly burned because she left a little bit of makeup under her eyes (you must remove all makeup before procedure). |
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posted by: Trish | | Posted Sun, Sep 14 at 11:49 AM PDT | | Hi everyone, it has been 5 days since my Thermage treatment and i am amazed at the lift i already have in my forehead and eyes >>> I did not have any numbing cream or valium and it was very tolerable >>> I would do it again anytime >>> This is amazing >>> I had a browlift and it did not do as good results as Thermage >> so far I praise the procedure>>> I hope everyone has as good resultes as i have had so far>>> Good Luck |
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posted by: Patriece | | Posted Sun, Sep 14 at 2:21 PM PDT | Hi Trish!
You are seeing results in just 5 days!! That is amazing! I didn't think it was suppose to be so evident until 3-6 months. Did you have any swelling? Where do you live? If you don't mind me asking, how old are you and what type of browlift did you have? I am scheduled for an endo brow/midface in Oct. I am 48.
Thanks, Patriece |
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posted by: nerak | | Posted Sun, Sep 14 at 3:53 PM PDT | Hi! I am seeing results on some wrinkles 3 days later....very pleased too! I hope my face continues to tighten daily! I would definetly do again too!
Nerak |
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posted by: maew | | Posted Mon, Sep 15 at 9:27 AM PDT | | you are fortunate. my doc, ******* never said anything about makeup or anything. i think she may have been in it for a quick buck. live and learn! |
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posted by: jk59 | | Posted Fri, Sep 19 at 6:38 AM PDT | Nerak-
It sounds like you have had a very positive experience. Where in ATL did you have the procedure done and what was the cost? |
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posted by: lkaufman | | Posted Sun, Dec 14 at 7:04 PM PST | | I would love to know where you wnet and who your doctor was? |
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posted by: eyewrinkles | | Posted Mon, Apr 26 at 1:25 AM PDT | | Thanks for sharing your information on your Thermage experience. I am considering this in the future. I don't have a lot of sagging except under the eye but the fine lines are popping up on my cheeks and around my lip area. Do you think Thermage will help that? |
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posted by: marypp | | Posted Tue, Oct 14 at 2:14 PM PDT | | I was just wounding where you had it done and how much did it cost. |
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posted by: Terree | | Posted Wed, Dec 17 at 3:35 PM PST | I am interested in your procedure. You sound very positive and I too am located in atlant Ga. I am curious as to which Doctor you went to and how much thermage you had done. If any of these questions are unwanted, please let me know. I am doing research on this procedure and very interested in the real facts. If you are able to give any insight I would be greatly appreciative. Thank you for your information and the willingness to share.
Regards,
Terree |
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posted by: jodecor | | Posted Mon, Jan 5 at 8:24 AM PST | | Can you tell me the name of the doctor who performed the thermage procedure in Atlanta? Do you recommend him/her? Thanks! |
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posted by: DMS1 | | Posted Wed, Mar 3 at 6:37 PM PST | Hi,
I am considering Thermage.....I have an consultation next week. Could you tell me how yours has turned out? |
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posted by: maew | | Posted Mon, Sep 15 at 9:26 AM PDT | i never have had any swelling or bruising from any other procedure, and i've had microdermabrasion, and also had my eyes done. They never bruised at all. i have two serious black eyes, seven full days out from my lower face thermage. she used lanacaine, needles and evidently, where she inserted the needles on the sides of my nose, it hit a nerve???...and caused my chin to blacken...as well as two serious black eyes. My face looks awful! and she won't respond to my emails. *******...NYC. Don't use!
She never gave me an option to use numbing cream. Just told me what we were doing. I was not very bright, I guess. |
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posted by: nerak | | Posted Wed, Sep 17 at 2:57 AM PDT | | Dear M-What a nightmare for you! I am so sorry you had such a bad experience! Your Doc SHOULD not be allowed to do this procedure...I hope you are feeling better! I am almost one week out, and have had no swelling. I can see a little improvement, I hope to see more! Good luck with your recovery! Nerak |
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posted by: maew | | Posted Thu, Sep 18 at 5:35 PM PDT | | thank you nerak...i am doing a bit better...still sore, and two WICKED black eyes still...but overall better..and with 10 layers of makeup, i can go golf. thanks for your concern...hope i see improvement...so far..all i can tell is that i've lost the tan i NEVER tried to get...i am a serious sublocker. thanks again. |
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posted by: HEIE | | Posted Thu, Sep 18 at 5:13 PM PDT | I am a physician who does thermage. I would like to respond to the comments made, since I think more clarity and less confusion is needed. Many new advances are being made in the techniques used regarding Therma cool in order to achieve the best results. In the past, numbing cream was the only acceptable form for relieving the pain. In fact, numbing cream on its own, is usually never enough and results in much discomfort. Then it was determined that, multiple passes of thermage can be done in one treatment in order to achieve better results. Therefore a better/stronger form of anesthesia is needed than numbing cream. Many more physicians are turning to nerve blocks, or strong narcotic oral pain meds, to control pain. Narcotic pain medications should not be used if you are traveling alone or visiting the doctor on your own. Nerve block provide the much needed and much stronger relieve from pain and discomfort. The downside is that people will probably have a longer recovery period consisting of brusing, swelling, lumps and bumps. In addition to pain relief, nerve block are necessary if multiple passes of thermage are done , or for OTHER cosmetic procedures done SIMULTANEOUSLY. Maew, Did you have another cosmetic procedure done at the same time ? If so, that will always necessitate a stronger form anesthesia than numbing cream, and contribute to a longer down time.
At the end of it all, everyone should remember the downtime is significantly less than a face lift. Which can take months to recover from.
I, like most Physicians, have extremely limited time in responding to many email, however, I hope that this educates anyone who reads this. I would like to hope we can all take this information and use it wisely, I also suggest calling your doctor, after your procedure, with any questions you have.
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posted by: maew | | Posted Thu, Sep 18 at 5:50 PM PDT | Thank you for your response. Yes, I did have another procedure,
'radiance', which I did at the spur of the moment...I can tolerate quite a bit of pain, particularly for 5 seconds or so, and was not given the option to have topical or the nerve blocks. Consequently tho, I still...11 days out, still have wicked black eyes...and just a bit of bruising..(livable) around my NF, and my lower chin and neck. I do not have a problem with a bit of bruising. However, as I said, I did NOT know that it was going to last as long as it did.
I am still very tender to the touch on my face...(tho better), with lumps bumps and bulges around where I was needled, and would be anxious to know about the time frame on healing
However, my doc, sort of shut me off, as I was so paranoid about it afterward. (never prior) I drove 800+ miles to see her, and it is not a convenient or inexpensive trip back. I depend on email, and her secretary has made me out to be a quack. I have to tell you, that waking up the morning after, and sleeping on an incline, and seeing two cheeks, that do not look like they belong to each other, or the same face, and serious BLACK bruising...one has to wonder what "down' time means to the people who promote thermage.
I do know at this point in my life I would never have a facelift. I have had my upper eyes done, and NEVER had a bruise for the whole, and very quick healing time.
Thanks for your time,,,appreciate it. maew |
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posted by: HEIE | | Posted Thu, Sep 18 at 7:50 PM PDT | Any extra procedure you had, for example using a filler to fill in wrinkles, or fill up your lips, one of which is what I assume you did with radiance, can be very painful. This might be why the doctor required a stronger anesthesia for you than a numbing cream, as injections of fillers can be painful. I am sure that your physician wanted you to experience the least pain possible. Often that is not a choice that is given to patients, ie numbing cream vs nerve block vs pain pills. The type of anesthesia chosen can depend on the number and type procedures done, and anticipated pain level. Having multiple procedures requires more pain relief. Unfortunaltey, multiple procedures and stronger anesthesia will contribute to more down time. Be it nausea and vomiting from pain pills, allergy and swelling from numbing cream, or brusing and swelling from nerve blocks.
As for communication, it is important for everyone to call and speak with their physician's office for any question after a procedure. It is a mistake to rely on emailing your doctors office. Most doctors offices, if they even do use email, are not able to respond as easily as you may like. I am sure if you call your doctors office, you will not feel shut off as you describe. You are on the right track, and hopefully, soon you will be able to see results. Good Luck to you.
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posted by: kmw44 | | Posted Sat, Oct 25 at 6:18 PM PDT | i had a thermage done on July 28..3 months ago..no block..
just percocet valium and emla..
it was extremely painful..and my face blew up like a ballooon..
took about 3 wks to go down..she used 14.5 - 15.5.....
it has been about 3 months post now and i think i'm seeing some
tightening in my face..but what i see is that my NF line are worse.. and i have dark circles under my eyes...both started to develop about 6 wks after the procedure..my physician asured me it wasn't from the treatment..but i dissagree..
i guess i am writing this to see if anyone else has experienced this..
please respond if you have experince with this side effect....
thanks
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posted by: skindoc | | Posted Thu, Aug 19 at 3:47 PM PDT | Dear Doctor,
I am also a physician who performs the Thermage procedure. It is my understanding that nerve blocks are not recommended by Thermage technical support staff. This is because feedback from the patient is an essential part of the procedure. We ask the patient to rate the level of discomfort from 0 to 4. 0=no feeling and 4=intolerable. We tell the patient that we would like them to be at 2. 2 is hot, not torture, not "cigarette burns", just a split second of hot. For this reason, technical support recommends oral, parenteral, and topical anesthesia.
For the individuals who write in to this site, I would like to comment that I feel that any site with support from Plastic Surgeons and any site which sells products for better healing after plastic surgery (such as this site) may not be an unbiased site. (Thermage requires no post-treatment care and has resulted in financial losses by the plastic surgery community.) However, I would also like to opine that the Thermage procedure, at this time, cannot cause the impressive and sometimes astounding results of plastic surgery. During discussions with patients about any desired cosmetic improvements, it is the physician's responsibility to discuss the risks and benefits of all available procedures. In my practice, plastic surgery is always discussed as an option instead of the Thermage procedure. Manytimes I recommend consultation with a plastic surgeon regarding a facelift instead of a Thermage procedure. Whether we are running a website, receiving referrals from a website, or just writing in, we must remember that we work as a team of caregivers who took an oath to above all, do no harm.
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posted by: ariel | | Posted Thu, Sep 18 at 5:25 PM PDT | Hi everyone,
We have been learning more and more about thermage. Apparently, anesthesia is either done with a numbing cream or with nerve blockers that require needle injections. The numbing cream is used when the setting of the thermage procedure is set lower. Also, it is possible that if a patient has a high pain tolerance, a numbing cream will be used. However, since it is increasingly being found that using thermage at higher settings has better results, the pain level is high to the degree that a numbing cream may simply not be adequate and only a nerve blocker can control the pain which can otherwise be too great. It is left to the physician to decide whether a nerve blocker (needle injection) is to be used or not. If an injection is used, swelling and bruising are normal symptoms that can occur and can take anywhere from a week and longer to go away. Of course, by practicing healing-friendly tips, you can accelerate your healing and reduce your post-operative bruising and swelling.
As a result, the same tips that apply to other facial procedures that involve swelling and bruising apply with thermage. Among these include staying elevated, using a cold compress to contain the swelling, using hot compresses to lessen bruising, considering a homeopathic remedy such as arnica montana (SinEcch), staying away from salt, not consuming any anti-coagulants such as vitamin E, aspirin and ibuprofen.
As you know, the Make Me Heal Store has numerous products that you can get which can aid in reducing swelling and bruising.
You can find facial hot and cold compresses (that serve dual purposes) at:
http://www.makemeheal.com/mmh/product/facelift/therapy/index.vm?procid=7&catid=23
You can find pillows that can allow you to stay elevated at:
http://www.makemeheal.com/mmh/product/facelift/pillows/index.vm?procid=7&catid=24
You can find SinEcch (arnica montana) at:
http://www.makemeheal.com/mmh/product/facelift/homeopathy/index.vm?procid=7&catid=233
We hope this has clarified some of the questions and concerns of patients wondering why some of you have had bruising and swelling, while others have not. You should know that healing varies from person to person and depends on the person's individual healing, the approach being used by the physician, the setting at which thermage is done, and other factors such as any other procedures that may be done in combination with thermage.
Good luck to everyone who is considering, doing or waiting for the results of their thermage procedures. Happy healing.
Ariel
Make Me Heal
http://www.makemeheal.com
Shop for surgery recovery products, skin care & antiaging: http://www.makemeheal.com/mmh/product/index.vm |
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posted by: maew | | Posted Thu, Sep 18 at 5:40 PM PDT | thank you. and you are right. it is different for every person having the procedure. i do appreciate this forum removing my md's name, as she probably is very good, and would not like ruining her reputation.
with that said, i am still sore,,,still have very black eyes, and hard spots on my face due to the nerve block..and it has been 11 days out. i have not been out of the house.
on the plus side, i have no tan!!!! yippie |
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posted by: nerak | | Posted Sat, Sep 20 at 6:08 AM PDT | | Maew- Hope you are feeling better!!!!! |
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posted by: jk59 | | Posted Sat, Sep 20 at 9:38 AM PDT | Nerak-
How are you doing today? I tried to send a question to you but it went in under a reply to a previous message left by you. I am 44 and live in the ATL area and would like to hear any suggestions you might have about finding a good doctor to do this procedure. I'm looking forward to hearing from you.
jk59 |
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posted by: nerak | | Posted Sat, Sep 20 at 11:44 AM PDT | JK- I left a lengthy reply similar to this under the other thermage topic....but, I will recommend Dr. Tiffany Hamilton's office in Alpharetta (north of Atlanta). Her website is www.dermandvein.com. I am absolutely fine, I never had any pain, bruising, swelling after my thermage treatment! I can tell a small difference, and hope to see more!!!! I would be happy to answer any questions....I am very happy with my results so far!
Nerak |
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posted by: maew | | Posted Sat, Sep 20 at 6:51 PM PDT | hi...glad your results are so good. i still have black eyes, tender to the touch around my lower face still tho,,where i had the actual thermage. it's definately better, but NOTHING covers my black eyes. today i went to the dermablend counter..and the sales person asked if i'd consider seeing a dermatolgist about the dark 'circles' under my eyes. i do hope they go away! it will be two weeks on monday.
darn. |
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posted by: 3kidslater | | Posted Mon, Sep 22 at 12:04 PM PDT | Hi Maew
How are you feeling today?
I hope your eyes are looking much better now... Other than the obviously upsetting swelling and bruising you have experienced have you noticed any good results yet? (probably too early?) I read that you also had radiance done (The NF area?) Do you know if the Therma Cool is supposed to help with tightening that area? Did you have the radiance anywhere else? I've been thinking about it for lips as I read it lasts about 2 years. I'm still chicken....
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posted by: maew | | Posted Mon, Sep 22 at 5:29 PM PDT | nope..only on my fl's...and for $1500, it hasn't changed anything. I still ahve black eyes...my swelling has gone down, but i have a lump on my left cheek, that is hard as a rock still, and sore. and i am 14 full days out.
i feel ok, but my face is disfigured, it looks like. no results on either thermage or radiance. radiance is supposed to last up til 5 years if done properly. maew |
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posted by: Graceful | | Posted Sat, Oct 25 at 12:59 PM PDT | My doc was very clear about the danger of using numbing injections. This procedure being so new, people are going to experiment with fringes, but I don't want to be the pioneering patient!!
Numbing injections may result in overtreating an area and causing too much damage. The whole point of Thermage is the non-invasive nature, otherwise you can get a facelift with better results and the bruising.... |
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posted by: bizemom7 | | Posted Mon, Sep 22 at 6:15 AM PDT | Maew,
I am sorry to hear about your experience. It must have been very scarry. It isn't that you are not bright, it is that you were not educated properly by your physician. Before I could even have my treatment, I had to go to the Derm office where I was having the procedure done for a free consultation. During the consultation I was informed of the cost, how the procedure would go, what I could expect from the treatment, etc.
I think it is horrible of your physician not to contact you via phone or e-mail. If I can help, please feel free to contact me @ Bizemom7@aol.com. I was very pleased with my Doctor and also with my treatment.
Bizemom |
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posted by: jeanette | | Posted Fri, Sep 26 at 3:51 PM PDT | | Hi, Sorry but I'm not getting this message board yet, so I'm not sure if my messages have been read. Anyway I'm researching Thermage,had a consult and have read your posts. A little leary but don't want to do the knife, apparently thats how most feel wanting to do this procedure. Concerns about extended down time , burns and swelling. Sounds as if the doc performing is key, so does anyone have a recommendation in the California area? Thanks, Jeanette |
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posted by: llarsen | | Posted Sat, Sep 27 at 9:50 PM PDT | | Looking for So. Cal Doctor? I went to Dr. Antel in Vista on Sept 8 and had the Thermage "Brow Lift". It's been 3 weeks and I really see a difference already. I'm 47 and my upper lids were starting to get that fold of skin over them from my brow. I can now see almost my whole upper lid again. The wrinkles on my forehead above my brow are almost gone. I want to have my lower face and neck done. Has anyone had luck with Thermage getting rid of the lines around the lips? |
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posted by: Tuesday | | Posted Tue, Mar 9 at 11:45 AM PST | Hi, I am in the Des Moines area as well, and I was hoping that you could give me some advice on where to go and how much this was in costs. How did your experience go? Would you do it again? Please tell me whatever you can. I am just beginning this journey, and I need as much information as possible.
Thank you,
Tuesday |
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posted by: Graceful | | Posted Sat, Oct 25 at 12:50 PM PDT | Tell your Doc he needs to treat at lower energy levels. You may save his/her future patients from similiar problems.
You also should make sure that the Doc is either a Dermatologist or a Plastic Surgeon. Don't let the nurse or office aid do the procedure (you are paying dearly for it!)
Beware of the "cosmetic doctors/surgeons" which could be anyone with a medical degree such as a family doctor, gynecologist etc. trying to make some cash.
I had mine done 2 months ago, levels 12-14, mostly 13, a transient bruising in some areas, lasting half a day. I am seeing gradual improvements. |
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posted by: tomcat | | Posted Sat, Sep 27 at 9:05 AM PDT | | Anyone know of place in southern california? I'm in the claremont area. Thanks |
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posted by: llarsen | | Posted Sat, Sep 27 at 10:01 PM PDT | See reply above. I had brow lift for 1200.00. I plan on going back again for the lower face. I didn't have any swelling to speak of, my lids were slightly swollen the evening I had it done. I had very little bruising from the injection to numb my brow area. Eye shadow covered it. I see a noticable difference in my brow and lid area, but it's not something anyone else would notice and ask "Did you have cosmetic surgery?"
I'm very glad I had it done. |
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posted by: ChronicTea | | Posted Mon, Sep 29 at 4:45 PM PDT | | I had my entire face done four months ago. The neck area had not been "approved" at that time so the doctor stopped at the jawline. I am 45 years old and lucky enough to be blessed with great genes. I have great skin and good habits and look around 35, but I see a little bit of sagging starting at the jowls and neck. I had already been to a plastic surgeon about a face/neck lift since I'm pretty terrifed of aging. So when I first heard about thermage I jumped on it really fast hoping to avoid the inevitable. It cost me $1500.00. It hurt like hell. I was bruised from the injections for almost two weeks. But I was very excited to see what was going to happen over the next few months. I really don't want to be discouraging but frankly I can't tell a difference in my face at all. I've had lots of progressive photos taken since May. But I'm glad I tried it. I wish it had been that miracle cure. My only advice is that if you expect thermage to give you what a traditional facelift will give you then reconsider. The old adage of too good to be true is certainly applicable at least in my case. |
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posted by: maew | | Posted Mon, Sep 29 at 5:29 PM PDT | | i had my lower face done on sept 7th. i still can't sleep on the sides of my face, so sore still. i was swollen beyond belief, and due to injections, i bruised beyond my wildest imaginations. we are almost a month past, and i still have black eyes,which makeup doesn't cover, and can see zero difference in anything i had done. very disappointed. and you are right...evidently it is not a cure for it all. i also have good genes, great skin, but felt i was drooping. i still droop..still have slightly deformed face on one side. she only did a 14 1/2, which i never even asked about, as i was unaware of different settings. (it was not explained to me), but she did do two passes. oh well..live and learn. |
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posted by: bizemom7 | | Posted Wed, Oct 1 at 9:51 AM PDT | Hi,
I am sorry to hear that you are unhappy. The first mistake your doctor made was trying to portray this treatment as a "face-lift". That it is not. What my doctor told me was that it was somewhat of a rejuvenation. I didn't notice breath taking results, but I was expecting to. I feel that maybe you were mislead. I look less tired, brighter, just overall fresher, but I don't look tightly pulled. I am very happy with my results. It was also made clear that results vary from person to person. As far as the setting of 14 1/2 that is a reasonable setting especially when they are doing multiple passes. As far as injections, my doctor didn't even offer it as an option. I am glad because I have seen more people who are upset with the bruising that they have from the injections. The procedure doesn't feel great, but I certainly tolerated and and would again for the same results.
Bizemom7 |
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posted by: Nerak2060 | | Posted Wed, Oct 1 at 3:38 PM PDT | | Bizemom, how long ago did you have your thermage? |
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posted by: maew | | Posted Wed, Oct 1 at 5:15 PM PDT | I don't think she indicated it was a 'facelift' at all, but my skin was and is still good (except for the lumps and sore spots and less blackened eyes), so I think I was expecting it would 'lift' me alittle, tho a pulled look was not what I was expecting. My doctor was VERY nice, I was probably a bit naive and jumped right into it. Consequently, because I live so far away, we had communication problems, which have been resolved somewhat.
However, I did have radiance around my NF's, and I don't see any difference. I was pricey, and she did say I may need to go back for another boost, but I am afraid of what she may do to me, since I have not been her biggest fan online. :{
I do appreciate all the help I've received on this message board and from you, bizymom! |
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posted by: maew | | Posted Wed, Oct 1 at 5:16 PM PDT | | and oh,,,I was never given any other options other than ladicane. that is what caused the bruising. |
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posted by: 3kidslater | | Posted Thu, Oct 2 at 6:45 AM PDT | Hi maew.. I had a very similar reaction tot this procedure as you. I did not have any injections, or any other treatments done along with the Thermage and still swelled up like a blow fish. I had the procedure done on Monday with settings of 17 most places under eyes 15.5 (Just had lower face done) I looked fine when I left the office but 6-8 hours later swelled up beyond belief.
My Dr said it happens to a few people. I'm on day 4 and still look pretty bad. I was told if you swell up it is a good sign that the collagen is rebuilding etc. So those who have the swelling and lumps under the skin reaction should show terrific results. I was disappointed to read you have noticed anything great yet. Geeze what did we do to ourselves?!
How long did you swelling take to peak before you noticed it starting to come down? I think mine may be subsiding a bit but my husband says it looks the same if not worse.
Well here's hoping we all see fabulous results by month 2 -4 and this would have been worth it. |
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posted by: maew | | Posted Fri, Oct 3 at 12:13 PM PDT | well...i'm sorry for you, but glad to see i am not the only one!!! i still have lumps on one side of my face, and it's been just about a month. perhaps i'm hard on myself, but i do not see any difference as of yet. i can't sleep on my side, as my face is still tender.
i did look like a blowfish, don't now,,,and my lips were so tiny!!!...it was almost funny. my husband was NOT impressed..
i hope you are looking better. it's an awful feeling to screw up our faces! let me know how you are. email address is carriemm@hotmail.com
*hugs* |
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posted by: Nerak2060 | | Posted Mon, Oct 6 at 5:13 AM PDT | | 3kids, How are feeling/looking today??? I sure hope you are better:)! |
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posted by: 3kidslater | | Posted Mon, Oct 6 at 9:49 AM PDT | Hi,
Its' been 7 days today and I'm now looking almost normal, although still some swelling under my eyes. I don't think anyone else can tell the swelling now. Unfortunately I don't see any results at all. I am hoping I'll see some in the next few weeks / months. Nerak holler when you start to see good results. I am hoping we all see positive results soon!! Thanks for checking on me... meaw how are you looking / feeling? Any results for you yet? |
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posted by: Judiann | | Posted Tue, Oct 21 at 12:54 PM PDT | I had the same swelling as you. But it lasted 10 days. One side was more swollen than the other. I didn't hear anything about the swelling being a good sign. My doctor said he wants to do a second treatment at 13 so there wouldn't be any swelling.
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posted by: Graceful | | Posted Sat, Oct 25 at 1:06 PM PDT | |
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posted by: melliott | | Posted Fri, Oct 17 at 11:08 PM PDT | | I live in Orange County, California and I am considering this procedure. Has anyone has had this procedure performed by any Dr. in my area? What was your experience and the approximate cost? |
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posted by: Judiann | | Posted Tue, Oct 21 at 12:42 PM PDT | | Hi. I live in Irvine. I had it done at Total Dermatology. Dr. Nissan Pilest. He is really a good dr. and good with anti aging. I had Thermage done on 7/17. I had it on my full face. Price: $2,500. Usually it is $1500 for each area but a little discount if you do multi areas. I didn't have my neck done. They are just getting in a thermage tip to do under the eyes. I had it done on level 16, which he said was the highest. Had creme, shot and pill. Was still VERY painful. I have a high tolerance for pain. When I left my face looked fine but swelled up that night and was swollen for 10 days. Did not seem like a "lunch time procedure". My face looks healthier and more toned. Hard to pinpoint any big improvements - just looks better overall. He wants to do a second treatment at 13 so there will be no swelling or as much pain. He had advised me beforehand that a second treatment would give better results. I will have it done again. I highly recommend Dr. Pilest. He has a website - totaldermatology.com |
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posted by: melliott | | Posted Wed, Oct 22 at 10:37 PM PDT | | Thank you Judiann for the recommendation. Was the swelling so bad that you would not go to work? For me the great appeal of this procedure is that you don't have the extensive recovery time of a face lift. My sister had a surgical face lift done about 20 months ago by a highly recommended dr. in Dallas. She didn't go out of the house for 2 weeks. I work, so that is not an option for me. How long did your dr. recommend that you wait between treatments? Did you notice a difference in your face as soon as the swelling was gone or has it taken the 90 days to see the improvement? From what I have read you may continue to see additional improvement for up to 6 months. Did you interview any other dr. before making a decision? Have you used this dr. for any other anti-aging procedure? Thank you again for your help. |
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posted by: Judiann | | Posted Thu, Oct 23 at 11:17 AM PDT | | Hi Melliott. I've been going to Dr. Pilest for over a year now. He has me on a great skincare regimen. I've had IPL done for sun spots and do botox. I have seen a very big improvement after going to him. He is up on everything new and is excited by it. And.. his skin looks great. On the thermage - my swelling was bad enough that I didn't want to go out for a few days. One mistake might have been that I went on a hike later that same afternoon and that night it swelled up. Probably been much smarter to relax. I don't work so it didn't hurt my schedule. I think if you discuss this with a dr. they would do a lower setting to make sure you don't swell. I would think two treatments at a level 13 or 14 would be really good. He recommended a second treatment at 4-6 months after my first one. I'm just looking for some toning and I feel like that is what I am getting. It is very gradual. And can take up to the total of 6 months. I just look in the mirror and feel like my skin looks younger. I have seen pictures of face lifts etc. and don't feel I could do that. I want to do all I can to prolong even thinking about it. I am 45 ( I did the Thermage on my birthday as a present to myself!) and was a sun worshiper most of my life. Now I wear sunscreen all the time and really take care of my skin. Dr. Pilest has you come in every 4 weeks to check on your improvement. I think I'll do the second treatment in December. I hope this answered some of your questions. What city do you live in? |
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posted by: melliott | | Posted Sat, Oct 25 at 1:40 PM PDT | Hello again Judiann,
I live in Huntington Beach and I work in Irvine. Dr. Pilest would be very convenient for me. What is IPL? I was lucky that I had neighbor about 20 yrs ago who was a nurse. She convinced me to wear sunscreen everyday. I believe because of that practice and that I have good genes, I just have a small amount of sagging on each side of my mouth but no wrinkles on the bottom part of my face. I would like to have my neck treated because I have some skin under my chin that needs to be tightened up. My under eye area is what bothers me the most. So I will definitely ask him about that area. Toning is my goal also. I am going to call and make an appointment for a consultation. I thought I could have the procedure done over Christmas because I will be taking some vacation time. Are the monthly check-up visits included in the monthly fee? |
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posted by: Judiann | | Posted Sat, Oct 25 at 5:20 PM PDT | Hi Melliott,
The monthly checkup visits are included in the price. I am looking forward to doing this under my eyes also. It is easy to find things to treat the crows feet but until this, nothing for directly under the eyes unless you want to do surgery. IPL is a Foto Facial. Intense Pulsed Light. It is for overall skin improvement in texture and color. Use to treat brown spots and broken capillaries etc. I think it was a set of 4-5 treatments 3 weeks apart. Done by an RN. About the same price as the thermage. I'm more excited about the thermage. He had me using Retin A again ( I stopped for a year between moves) and now started me on AVAGE which is a similar prescription product made by Allergan here in town. I use the creme every night plus Skinceuticals products during the day. I love both. If he recommends products, I buy the prescription ones from him but buy skinceuticals and obagi online. A little cheaper and no tax or shipping. Keep me update if you end up doing this. Would be a nice x-mas present to yourself! |
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posted by: Judiann | | Posted Sun, Oct 26 at 9:43 AM PST | Melliott - here is my e-mail address in case you have any other questions or comments. I'd like to hear how your consultation goes and what you think of Dr. Pilest. If they ask you how you found out about the office, feel free to use my name - same as in e-mail address. Keep in touch.
judymeland@cox.net |
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posted by: Freespirit1333 | | Posted Tue, Oct 21 at 8:24 AM PDT | Thermage...not just for ladies!
I just had a consult with Donna at Dr. Isaacson's office and will be having the entire face done on Friday afternoon. That's right, all three sections for $4,500. I am 53 years old, but usually people guess 43 at the most. But a couple of years ago, most would have guessed 33. So I have sought an answer to slow down, and perhaps reverse some of this rapid aging...something to give me back "possibilities", something to give me back my smile.
They are considering me a prime candidate because I have never smoked, always stayed out of the sun (spent a lot of time in the theatre as a lighting and scene designer), and have not waited too late in my life where there wasn't enough collagen to increase (you need existing collagen for best results). So everyone is very hopeful.
I will keep everyone informed of my progress. Please say a prayer for me and for the miracle I am hoping for.
Donna told me that there was quite a bit of pain involved, but the Valium and Tylenol 3 would help (they don't use the numbing cream any longer). I told her that compared to the one I love telling me that I was too old for her, the pain involved would be no comparison.
Your new friend,
Steve |
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posted by: Judiann | | Posted Tue, Oct 21 at 12:50 PM PDT | | Good luck Steve. I bet you are excited. It sounds like you have taken really good care of your skin so you will probably get great results. I found it painful but worth it. At least there is no cutting, blood etc. Just pain at the time and then it is over with. I hope you are really happy with your thermage treatment! |
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posted by: bizemom7 | | Posted Wed, Oct 22 at 7:31 AM PDT | Hi Steve,
I too had my Thermage done at that office. I was very happy with the results and I was pleased with the knowledge that the staff had. I had my consultation and found all the info out first, did a little research of my own and found that Dr. Isaacson's office has done more Thermages then almost any other office. The reason for this is that they were featured on ABC news with the Medical News Reporter, Kathleen Fowler. That is how I found out about Thermage.
If you have any questions that I can answer or if you are feeling nervous, let me know.
E-mail Address Bizemom7@aol.com
Bizemom |
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posted by: Trish | | Posted Thu, Oct 23 at 9:52 AM PDT | | Hi I had thermage on my forehead and eye area in mid Sept. I did not have anything for pain and it was painful but very bearable >> I see good results aready but i need to know if anyone had experienced dimpling or depressions in their skin >> I have 2 areas the size of the tip that was used >> i would like to know if anyone else have had these and if they will go away >>> Thanks, Trish |
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posted by: maew | | Posted Tue, Oct 28 at 6:52 AM PST | | i still have a lump on my left cheek, but no dimpling. |
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posted by: sasha000 | | Posted Thu, Oct 23 at 10:33 AM PDT | | Have appointment for this next week with Isaacson. I think that it would be useful if those who have had this done also note their ages. From reading the boards here and elsewhere, it seems as though older people are happier with results than younger. Perhaps it is because as we age, any improvement is cause for rejoicing. I am 51, and due to good genes, look my age in spite of smoking for 30 years--though off and on for the past 3 as I try to get a grip on the addiction. |
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posted by: Freespirit1333 | | Posted Fri, Oct 24 at 7:15 PM PDT | Day One...
Well, I just got back. They had given me 2 tylenol 3, and about 45 minutes later, 2 valium. Unfortunately, I am one of those people who always seem to need another shot of novocaine at the dentist, and don't seem to feel the effects of many drugs unless doses are increased (it takes me 3-4 sleeping pills to get drowsy). I probably should have said something, because I really wasn't not feeling anything. Another tylenol would have been a good thing, and probably another valium.
But the pain was pretty bad at time, but I didn't find tears running down my cheeks or anything. But I did start to give those rubber balls in my hands a workout sometimes. Keep in mind that I did opt to have all three areas down at the same time. Some of you might consider only one section at a time.
Afterwards, I went to a restaurant and had a nice dinner...it is probably a good idea not to have a lot to eat before the procedure. I had a decent breakfast, but skipped lunch. Afterwards I took the metro (45 minute trip) to my car, and then was fine to drive home.
I have absolutely no pain, or itching, or any other discomfort. There is a bit of reddness, but no more than you might get from being in the sun a bit too long. As far as immediate results--well it seems as though my brows have lifted a bit, and my jaw edges seem a bit more defined. But nothing very overt. Nobody has noticed any changes, other than my new haircut (I did that on purpose so that it would be a distraction from any possible change).
They said I will sleep very soundly tonight. That would be nice.
Tomorrow will be a good test, because I will be seen by quite a number of my store regulars. However I really do not expect anyone to really notice. Usually it takes a good 2 months before things really start to show a change. In my case, the gradual process will be very good, as I am in the public eye quite a bit.
Everyone at the doctor's office were great, they even let me have a cd I bought playing on the stereo during the procedure (very calming, almost meditative music). I even took off my shoes to fully relax. About the only improvement I would make would be to add murals to the walls--it would make the room feel a bit more comfortable. I have seen this done in dentist offices and it is very effective.
All of the staff was excellent! They made me very comfortable, answered all questions, and explained everything that could possibly be asked in clear terms. I guess the most impressive part of the experience was knowing that virtually the entire staff has had the procedure done. They freely showed the before pictures of themselves, and explain what was done and shared everything about their own experience.
It will be interesting to see changes as the days and weeks go by.
About the ony other procedure that I plan to have is lasering a few spider veins on each side of my nose and a bit on my chin. I will begin that at the first checkup from the thermage. That process is quite simple and not very painful.
As far as other things, like hair transplants, I really am not concerned that much about that. That is one area where I tend to agree with many posters here...that natural loss of some hair is something that I can't do much about, is quite gradual, and also very expensive to "fix". Fortunately I do tend to have a pretty good head of hair, and tend to wear it a bit long, so there is plenty to "comb over".
The rest of me will continue to learn to again smile, and again find confidence in seeking out women who will enjoy my company.
No matter what age they might be.
I will keep you posted.
Steve |
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posted by: kmw44 | | Posted Sat, Oct 25 at 6:07 PM PDT | i had a thermage done on July 28..3 months ago..
it was extremely painful..and my face blew up like a ballooon..
took about 3 wks to go down..she used 14.5 - 15.5.....
it has been about 3 months post now and i think i'm seeing some
tightening in my face..but what i see is that my NF line are worse.. and i have dark circles under my eyes...both started to develop about 6 wks after the procedure..my physician asured me it wasn't from the treatment..but i dissagree..
i guess i am writing this to see if anyone else has experienced this..
please respond if you have..
thanks
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posted by: maew | | Posted Tue, Oct 28 at 6:51 AM PST | | if you read back in this message board you will see what i went thru. i don't notice any results, tho do not have black eyes anymore..which were really tough to handle. it took me a month plus to get rid of them! let's hope for the best for us both! maew |
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posted by: Goldengurll | | Posted Wed, Oct 29 at 10:22 AM PST | | I had the Thermalift procedure done October 28th in Chula Vista California. The procedure was done by it's original developer, Dr Javier Ruiz-Esparza. I had only the lower face done at a cost of $1,500. The procedure itself only took about 15 minutes. The longest part is waiting for about an hour for the numbing cream to take effect. The procedure is painful, but tolerable. He explained to me that you don't have to have it on the highest setting to get results, that's when the bruising and swelling takes place. After I was finished, I felt like I had a sunburn. By the time I returned home 15 minutes later, the area was warm to the touch, but the pain was gone. I have already noticed a slight lifting of my jawline. Nothing too dramatic though. I realize that it takes up to 6 months, so I look forward to my follow up visit down the line. The name and address where I went is Chula Vista Dermatology. 296 H Street, Suite 200, Chula Vista, Ca (619) 420-3376. The procedure is only done on Tues and Thurs. |
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posted by: forumsadministrator | | Posted Wed, Oct 29 at 12:39 PM PST | |
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posted by: NancyEllen58 | | Posted Wed, Nov 19 at 2:10 PM PST | | Hi Its been a long time since you wrote in, but I'm hoping you're still looking at this thread. I had a question about Dr. Ruiz-Esparza in Chula Vista, who you said you had your treatment with. I didn't find his before and after pictures on his web-site that convincing. I know he's done hundreds of these procedures. Did you see any other photos at his office? If yes, does it looks like he gets a lot of good results? |
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posted by: foreveryyoung | | Posted Wed, Nov 19 at 8:28 PM PST | His website pictures are not that convincing but his work is. He is the best. Make a consultation. You will not regret it. He has done over 700 of these procedure.
good luck ! |
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posted by: foreveryyoung | | Posted Wed, Nov 19 at 8:26 PM PST | | I also had my procedure done by Dr. Ruiz 3 days ago. I love him! An all around positive experience. No swelling, bruising, burns nor pain after the procedure. I don't know if it is my imagination but I notice a slight improvement. How are you doing? Please let me know! |
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posted by: NancyEllen58 | | Posted Thu, Nov 20 at 5:07 AM PST | | Hi. I saw you on that other Board and had wanted to write you about Dr. Ruiz-Esparza. I got banned from that site after posting how to find the Ruiz-Esparza's website. I already had my lower face done in Tempe, AZ on Oct. 11 but continue to research and look for Before and After pictures. I do realize that Ruiz-Esparza is at the forefront of the technology, but I am still not sure about the results that are possible with the procedure. Good luck and I hope to see you on the boards again. |
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posted by: mattoun | | Posted Fri, Jan 16 at 4:37 AM PST | Goldengurl - are you still happy with your results and with Dr, Garza? I have an appointment for the procedure on Jan 27th and I am a little nervous. I really only need my lower face and neck, too. How are you healing and are you having a good result?
SD Marianne |
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posted by: lotstein | | Posted Wed, Nov 17 at 9:36 AM PST | | Hi, I would like to know more where I can find information on the Thermage machine. I do Physician Advance Skin Care and believe Thermalage would be a great asset to my practice. |
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posted by: judithxxxx | | Posted Tue, Jan 4 at 3:44 PM PST | I had the thermage done in Dr. Isaacsons office in DC in April of 2004. I am 53 with no wrinkles just the beginning sagging so I thought this would be good for me. No after effects from it. Their office is very careful and sympathetic. I was out in public immediately and my skin looked great. I would say that the results sounds like others in that it is very subtle. No dramatic results. Their price has increased substantially since I was there to $2,000 for the brow area which was about $1500 before. So for subtle results you have to determine if it is worth it.
What I would like to offer is that I used a "natural" help with the pain so that besides what they gave me I took my own pain reducer before the procedure. The procedure was painless most of the time for me and only about 15% of the time did I have any real pain. They said I did really well and I attribute that to the pain reducer I took. This was a mixture of things I took when I was in labor with my 6 children and it decreases the pain you feel. The formula is: 600 IU of vitamin E, 1,000 mg of Calcium, 500 mg. of Magnesium, 1 small capsule of A&D (cod liver oil) and a small amount of fat (Peanut butter) to help metabolize this. I took it every 3 hours starting the day before and until my appointment. It worked with labor pain so I figured it would help with this. Hope this helps someone. |
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posted by: Fuzz | | Posted Wed, Jun 29 at 4:44 PM PDT | Hello everyone, I just had the treatment....but have read somewhere else on this site about people having serious problems, with fat tissue in their face being lost. I , unfortunately , did not read these messages until after the treatment.
It is strange though that none of those posts appear on this part of the message board. I am really confused and anxious.
The treatment itself, for me at least , was a breeze, very slight burning sensation, and no after treatment swelling, pain, or bruising.
They gave me Valium, and some other pain killer, I have a low tolerance for that stuff and was flying pretty high.
thoughts
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