Welcome to the new age of plastic surgery. Thermage ThermaCool TC® is a non-invasive device that tightens the tissue of the face by targeting the collagen in the deep dermis of the skin. While many patients think that this treatment is a laser, they are wrong. Lasers are light based, exemplified by the breakdown of the word laser (Light Amplification by the Stimulated Emission of Radiation). Thermage ThermaCool TC® uses radio waves, and as such, is not a laser. By combining the radio waves into a concentrated beam, ThermaCool TC® has been able to heat a deeper portion of the dermis, previously unreachable by non-invasive treatments. Other non-invasive laser treatments have been only able to penetrate half as deep as Thermage ThermaCool TC® can. The reason for this is that the laser light can only penetrate so deep before the light is absorbed in the area under the skin. Thermage ThermaCool TC® was not designed for the treatment of age spots, peri-oral (around the mouth) wrinkling, or sun damaged skin, still best treated with light based systems. The device was designed to provide a surgical result without exposure to the risks, downtime or costs associated with surgery. Apart from providing a surgical-like tightening, patients can expect to have resolution of many of the troubling lines and wrinkles on the face. The lines patients can expect to resolve are the nasolabial (between the corner of the nose and corner of the mouth) folds, the marionette (folds seen between the corner of the mouth which slope towards the edge of the chin) lines, and crow’s feet (wrinkles at the corner of the eye). By heating the collagen in the dermis (where it resides), Thermage ThermaCool TC® causes two effects. The first effect is an immediate shrinkage of the collagen from the heat. This is called the “shrink-wrap” effect and can be seen by patients immediately after the procedure. In fact, Dr. Bassin usually sits his patients up half way through the procedure to demonstrate the differences seen on one side of the face versus the other. This heat-induced change to the collagen, which causes the initial shrinkage, does not go away. By causing damage to the collagen with heat, the body then sends out collagen producing cells called fibroblasts to replace the recently damaged collagen. This is what causes the second long term effect, the replacement of weakened and poorly tightened collagen (damaged by the heat) with new, strong, and tight collagen strands. This process can last up to six months, and is responsible for the continued tightening affect. As Dr. Bassin has gained considerable expertise with this treatment, he feels that the heat is able to penetrate deep enough into the skin, that fat cells can be targeted, and dissolved, particularly in the area under the chin and neck. Dr. Bassin tells his patients that the results of the Thermage ThermaCool TC® should last for at least 5-10 years.

Patients are asked to come into the office approximately 30-45 minutes before their planned procedure. Depending on a patient’s discussion with Dr. Bassin, and the areas targeted for treatment, patients will either have topical anesthetic ointment applied to their face, be given an oral pain pill, or be given tiny injections to numb locally innervated areas. This numbing does not affect any muscles, only the separate sensory nerves responsible for touch and temperature. Dr. Bassin then applies a grid to the targeted treatment area, which is easily washed off after the procedure. The treatment is then started, and can last up to 1 hour, if a full face treatment is selected. Patients should expect to have some redness after the procedure which Dr. Bassin tells his patients, “if not resolved by the time you leave the office, it will be gone by the time you have driven yourself home.” Patients do not need more than one treatment, and can go about their daily activities uninhibited after the procedure. A small percentage of patients can develop mild swelling, particularly if the chin has been treated. This lasts up to a maximum of 1-2 days. Patients do not feel any pain after the procedure, although a feeling of tightness has been cited. A small percentage of patients may also note some "collagen clumping" in the neck which resolves over 2-4 days. Prices range from $ 1800 to $4500, dependent upon which area of the face is treated.

Click on the thumbnails below to see Dr. Roger Bassin featured in the media on the topic of Thermage ThermaCool TC®.