Thermage is radiofrequency tissue heating. It is suppose to heat the dermal layer of the skin and cause tightening and therefore cosmetic improvement. Initially they thought that thermage was going to be able to be done in the office, but the pain of the procedure proved too much. They began increasing the energy levels then in an attempt to get better results, but unfortunately that didn’t work either. I have personally never done thermage because I have never been able to see results. The information I have received from attending meetings and listening to talks on the technology is that it is painful and that the results are limited. Some patients see a result although it is short-lived and others see no result at all. I do not recommend the procedure. The company is trying to improve the procedure, but I am not hopeful.