thermage - a non surgical face lifting procedure

Why is collagen so important, and why Thermage?

It is a protein that’s abundant in our body – Collagen protein is created by fibroblast cells in the deeper part of the skin called the dermis. However, as we age, we lose about 1% of collagen every year. Losing collagen (and other molecules), creates the signs of facial aging – wrinkles, folds, open pores, heavy eyelids, skin laxity and uneven skin tone. Thermage addresses all these and more.

The best way to avoid skin aging is to prevent it by having a healthy lifestyle, abstaining from toxins, good sleep and stress management and crucially, UV avoidance. For years, people have been trying to reintroduce collagen into the skin using collagen drinks, collagen powders and even collagen injections, which are famously known to cause severe allergic reactions.

Despite all the struggles faced in trying to increase collagen levels to keep one’s skin firm, supple and youthful, the medical aesthetic community never gave up on it; after all, it constitutes up to 80% of your skin.

That’s where Thermage comes in.


Thermage uses your body’s own natural mechanism to increase collagen levels where they are deficient. Collagen “produced” through this means is long lasting, safe, and best of all, completely natural because the collagen is manufactured by your own fibroblast cells.

How does Thermage work?

Thermage works on the principle of simultaneous cooling and heating of the skin using a specialised hand piece and tip to invoke neocollagenesis (collagen formation).

There are 4 phases to each Thermage shot:

  1. Cooling the surface of the skin down,
  2. Heating the surface of the skin using radiofrequency,
  3. Allowing the heat to penetrate into the dermis (where the magic works),
  4. Cooling down again.

how thermage works

Through this carefully engineered shot sequence, radiofrequency heat penetrates into the dermis to cause crucial collagen molecules to undergo heat damage and self-repair. This process also stimulates the production of new collagen molecules.

As collagen is produced over time, skin gets tighter, smoother and appear brighter and more refreshed. It takes 8-12 weeks for full results to be seen.

Will I be suitable for Thermage? 

An ideal candidate will be men or women between 30 to 60, with:

  • Mild to moderate skin laxity and sagging
  • Loose double chin area
  • Heavy jowls
  • Skin texture aging such as fine lines, wrinkles, enlarged pores, rough looking skin

Patients with a cardiac pacemaker or other active implants should not consider this procedure. 

Which areas can be treated?

Thermage can effectively treat the following:

  • Heavy upper and saggy lower eyelids
  • Jowls (heavy cheeks)
  • Loose skin on the face
  • Submental fat (double chin)
  • Loose neck skin
  • Overall skin rejuvenation

What is the Thermage procedure like and is it painful?

Common side effects may include temporary facial redness, numbness of the face lasting a few hours.Uncommon side effects such as rashes, mild burns, pigmentation changes are readily treatable.

Are there any side effects?

Common side effects may include temporary facial redness, numbness of the face lasting a few hours.Uncommon side effects such as rashes, mild burns, pigmentation changes are readily treatable.

Is there any downtime?

There is little to no downtime with Thermage – you can resume normal activities immediately after unless advised by the doctor.

Can I combine thermage with other treatments for better results?

Yes, Thermage has been used together with the Ultraformer HIFU, face lifting threads, fillers and certain injectables to for best results and patient satisfaction. The BTL Exilis, which is also a radio frequency treatment, may also be recommended for regular maintenance post Thermage.

However, not all treatments can be done on the same day, the doctor will advise you on the recommended sequence of treatment if multiple treatments or sessions are required.

For further reading on the abovementioned treatments:

Further reading on Thermage: