The Enhanced Image Center
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Main Phone: (440) 997-6960
7551 Fredle Dr.
Concord, OH 44077
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Ashtabula, OH 44004  

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Thermage     NEW!

Thermage is a safe, noninvasive physician performed office procedure that tightens and contours your skin.

The skin is made up of three distinct layers: a visible outer layer, called the epidermis, a collagen-rich under layer beneath the surface, called the dermis and an inner layer beneath the dermis, called the subcutaneous layer, also known as the “fat” layer that has a web of collagen fibers running through it.

With aging, the collagen in these three layers breaks down and the skin begins to sag and wrinkle.

Naturally, treatments that work on just the surface cannot do anything to restore collagen in the under layer or inner layer of your skin.

Thermage is the only non-invasive procedure available that tightens and renews your skins’ collagen in all three layers. How? Thermage’s unique radio frequency technology safely heats your skin’s underlayer and the web of collagen in the inner layer, causing an immediate tightening as well as improved tone and texture with continued improvement for 4-6 months following treatment. This occurs due to immediate shortening of collagen fibrils and neocollagen formation by a secondary wound healing response.

Pre-procedure medications are used for optimal comfort. A driver is necessary after completion of the procedure. Patients scheduled for Thermage Body should plan to wear body contouring garments for 4-6 weeks following treatment.

Thermage Article

You will find answers to common questions about the Thermage Facelift when you click on the Frequently Asked Questions section. Go to the Before & After section to see examples of the benefits Thermage can provide.

For more detailed information about how this procedure may benefit you, we invite you to call our office at (440)997-6960 to schedule a Free Cosmetic Consultation with Dr. Malhotra.

Frequently Asked Questions

What is the ThermageTM procedure?
Thermage is a safe, non-invasive, no downtime, single treatment, cosmetic procedure that is clinically proven to tighten, contour and rejuvenate facial skin to help naturally restore a more youthful appearance. The Thermage procedure is administered in a doctor's office using the ThermaCool™ system, FDA cleared for the treatment of facial wrinkles, which utilizes a unique form of Capacitive Radiofrequency (CRF) technology to tighten existing collagen and stimulate new natural collagen production. Immediate results are visible and continue to improve for up to six months. The Thermage procedure is fast and easy, and requires no downtime from normal activities. Unlike lasers, the procedure can be performed on patients of all skin color. Back to the Top


How does the ThermageTM procedure work?
The procedure works by heating deep collagen fibers in the skin and underlying tissue, while protecting the skin's surface with a cooling spray. The treatment is performed with the ThermaCool™ device. A ThermaTip??????, attached to a handheld device, briefly touches the skin, delivering the non-invasive CRF energy deep beneath the skin. This deep uniform heating action causes the deep structures in the skin and underlying tissue to immediately tighten. Over time, new and remodeled collagen is produced to further tighten skin and renew facial contours. Back to the Top


How long does the ThermageTM procedure take?
The Thermage procedure is a completely non-invasive, safe treatment that is performed only in a doctor's office. Depending on the size of the area to be treated, the procedure may take as little as 20 minutes or up to two hours. Back to the Top


How many treatments will I need?
Unlike many laser procedures requiring four or more sessions, a single Thermage treatment produces results in the majority of patients. The treating doctor will determine the course of treatment that is right for each patient, based on the patient's needs and goals. Back to the Top


When will I see results?
Immediate results are visible, and improve over time. Measurable tightening and contouring improvements appear gradually over a two to six month time period following a single treatment session. Back to the Top


Where on the face is the ThermageTM procedure performed?

  • Periorbital region: forehead and area around the eyes
  • Mid/Lower face: includes the cheeks, area around the mouth, jaw line, jowls, and area under the chin
  • Lower face/submental: includes the area around the mouth, chin, jaw line, jowls, and area under the chin
  • Full face: includes the periorbital region and mid/lower face areas Back to the Top


  • What does the ThermageTM procedure feel like?
    With each touch of the ThermaTip device, the patient experiences a brief, deep heating sensation as the CRF energy is delivered to the skin and underlying tissue. This deep heating sensation is an indication that collagen is reaching effective temperatures for tightening. To protect the skin and make the treatment more comfortable, the surface of the skin is cooled before, during, and after each application of CRF energy. Patient feedback on the level of heat sensation experienced during the procedure will help guide the doctor to balance procedural comfort with maximum results. The doctor may offer light pain medications prior to treatment to minimize sensation. These options should be discussed directly with the doctor as each patient's needs vary. Back to the Top


    Is there any special preparation or follow-up regime?
    No. Unlike surgery, there is no pre-procedure preparation, such as blood work or fasting required. One can return to regular activities immediately following treatment and there is no special care after treatment. Some patients exhibit a temporary redness or minor swelling after treatment, this usually resolves within 24 hours. Good skin care and sunscreens are recommended as part of your regular skin care regimen. The only signs of treatment are naturally smoother, younger, and healthier skin. Back to the Top


    How long will the effects of the ThermageTM procedure last?
    The Thermage procedure immediately tightens existing collagen and stimulates new natural collagen production for up to six months following the treatment. Unpublished reports by experienced cosmetic doctors indicate that results may last for years and are based on the patient's natural aging process. Back to the Top


    Is the ThermageTM procedure safe?
    The Thermage procedure has an excellent safety record. With over 190,000 estimated worldwide patient treatments to date the reported incidence of side effects is less than 0.4%. The most frequently reported incidents are classified as swelling, redness, bumps, and blisters on or around the treated area. These side effects have disappeared in a few days or weeks. A rare (<0.11%) but longer lasting side effect described as a surface irregularity has also been reported. Consult with your physician regarding this and any other questions you may have on the safety record of the Thermage procedure. Back to the Top


    Is ThermageTM the only radiofrequency technology on the market today?
    While there are other skin care technologies that use radiofrequency energy, only the Thermage proprietary capacitive radiofrequency technology delivers deep uniform volumetric heating powerful enough to naturally tighten and contour skin and underlying tissue. Also, Thermage achieves results in a single treatment compared to other technologies requiring five or more treatment sessions. Back to the Top


    How much does the ThermageTM procedure cost?
    In the U.S., the procedure cost may range from $1,000 to $5,000 based on the facial areas treated. Your physician will discuss his or her fees with you at the time of the consultation. Back to the Top





    Benefits of Thermage:

    Results: progressive with continued improvement for 6 months

    No downtime. Get back to work or play fast
    Simple non-invasive treatment

    Tightens, contours, & lifts skin

    Duration: years!


    Thermage Improves:
    Skin Laxity - lower face (jowls)
    Sagging eyebrows
    Eyelid hooding

    Loose, crepy tummy skin

    Loose skin under upper arms

    Ritu Malhotra, MD, Medical Director
    Facial Plastic Surgery