Smoother, Tighter Skin without Downtime
the last decade we have seen a tremendous growth in the development of
non-invasive, non-surgical devices that promote skin tightening. The latest
addition to our armamentarium of rejuvenation includes the ThermiSmooth procedure,
which utilizes external radiofrequency energy for gentle, precise epidermal
heating. It’s the only system that the temperature can be adjusted for the
specific area of concern.
the skin temperature is sustained to approximately 40°-42°C, an inflammatory
response is created and stimulates the fibroblasts in the tissue to produce
collagen. The heat stimulates collagen contraction that results in tighter,
smoother skin over time. A precise amount of heat is required while appropriate
technique is used to maintain the temperature for 5-7 minutes over a small
zone. Multiple zones such as the forehead, around the eyes, cheeks, around the
mouth, jowls and neck can be treated.
most popular area requested is around the eyes. This is an area that usually
reveals our age, and there are not a lot of treatment options that address the
skin quality under the eyes and eyelids without downtime. This is an option for patients who cannot
afford the downtime of a more aggressive ablative fractional CO2 laser
resurfacing treatment. “Social downtime” is many times the reason for patients
to avoid certain treatments. Now we have ThermiSmooth, which can be performed
within a few minutes, and normal activities can be resumed immediately. Patients
can even be treated during their lunch break.
the ThermiSmooth procedure, a gel is applied to the skin. The hand piece is
usually moved in a circular motion over the gel until the target temperature
that is set (usually 42°C) is reached, and then a faster gentle sweeping motion
is applied to sustain the temperature while keeping the patient comfortable.
Sustaining the temperature for 5-7 minutes is key to the collagen stimulation.
to six treatments two weeks apart are usually recommended depending on the
patient’s desired results. Although some improvement may be seen immediately
after treatment, continued improvement in skin thickness and skin quality is
observed over several months after the ThermiSmooth sessions.