Thermage FLX

Radiofrequency versus ultrasound

This is the most-asked question in lifting, and the reason "which is better, Ultherapy or Thermage?" has no direct answer: they do fundamentally different things.

Focused ultrasound concentrates energy at a tiny point and sends it deep — as far as the fascial layer — like reinforcing a support structure at specific points. Its strength is deep lift; its improvement of surface texture is limited.

Monopolar radiofrequency drives current through tissue to generate heat, spreading energy relatively evenly within a zone that mainly covers epidermis to dermis. Its strength is overall tightening and skin quality — density, fine lines and pore appearance usually improve together.

So they are complementary. The clinic's "two axes" is exactly this split: one pulls the structure up, one tightens the skin itself.

What the FLX generation brings

Thermage has been through several generations; FLX is a recent one. The main changes over earlier models are in evenness of energy delivery, treatment time and comfort handling.

The device cools the epidermis while delivering radiofrequency — the standard way RF devices protect the skin surface — and most units add vibration to disperse discomfort.

Dosing is again in "shots". A full face uses a fairly standard range, set by area and skin condition. As with ultrasound, confirm the shot count and areas when asking for a quote; otherwise clinics' prices aren't comparable.

Typically suited to

• Skin that has lost its spring and feels lax
• More fine lines, pores stretched by laxity
• Wanting overall skin quality improved alongside lifting
• A thin facial fat layer, unsuited to energy concentrated deep
• As a complement or alternate to ultrasound
• Tightening in thin-skinned areas such as around the eyes (subject to assessment)

Procedure and recovery

The sensation cycles through warm, a brief hot flash, then relief. Intensity depends on the energy setting; the doctor adjusts to your feedback.

Brief redness and warmth afterwards usually settle the same or next day. Most people carry on as normal — among lifting treatments, recovery is on the short side.

A few people have mild swelling or tenderness for a few days. Results are gradual: the collagen change from radiofrequency typically shows over weeks and may keep improving for months.

Precautions

• Not suitable if you have an implanted electronic device such as a pacemaker or defibrillator — you must tell the doctor
• Not recommended during pregnancy or breastfeeding
• Tell the doctor about metal implants in the treatment area
• Tell the doctor about previous filler injections — location and material
• Postpone if there is active inflammation or infection
• Sun protection and hydration afterwards; avoid heat

The contraindication for implanted electronic devices with radiofrequency is clear-cut. Please do not withhold it.