LEARN, SHOP & CHAT ABOUT PLASTIC SURGERY, BEAUTY AND ANTI-AGING





Alexander Rivkin, MD
Expert Profile



User Photo For: AlexanderRivkinM.D.
Alexander Rivkin, MD
Plastic surgeon | Views: 244078


Friendname: AlexanderRivkinM.D.
Business Name: Westside Aesthetics
Website: www.westsideaesthetics.com
 
Location: 1033 Gayley Ave #104
los angeles, CA 90024
United States
Telephone: 310 443 5273
Languages Spoken: English




Post a reply Ask Alexander Rivkin a question Return to Alexander Rivkin's homepage



Ask An Expert > Alexander Rivkin Message Board > THERMAGE Negative Side Effects & Efficacy
AUTHOR MESSAGE
Default User Photo
jkjones51
Sacramento, CA
THERMAGE Negative Side Effects & Efficacy
I am contemplating undergoing Thermage treatment (900 pulses) for cost of $2550. What is the efficacy rate? We all know what the positive outcomes are of this treatment, but I would like to know what are the possible negative outcomes and what are the causes? I am told that my doctor's assistant is "trained and certified" to do the treatment (doctor chooses not to do the treatment because it takes 2 hours) taking away her ability to do more consultations, etc. I really am trying to find a reputable procedure to tighten the jowl line and neck. The Titan procedure I had done in July 2009 did not really give much results for cost of $1000. Your objective information and advice is appreciated.


drbrent
Plastic surgeon
Beverly Hills, CA
United States
View My Professional Profile
Thermage and radiofrequency treatments  January 4, 2011 12:31 PM

In our practice, fractional laser resurfacing has largely replaced radiofrequency treatments. It seems to be more effective. There are other skin tightening treatments as well. If the neck is significantly loose, patients will typically spend a great deal of money before they eventually get the facelift that would have benefited them most in the beginning.


docblinski
Plastic surgeon
Miami, FL
United States
View My Professional Profile
  January 5, 2011 3:49 AM

On another site the patient satisfaction rate with THERMAGE was 41% or 59% were dissatisfied! I too agree with Dr Brent that Fractional CO-2 treatments are MUCH better, especially the Smart Skin Laser. But remember nothing replaces a mini facelift/ From MIAMI Dr. Darryl J. Blinski


drjasondiamond
Facial plastic surgeon
Los Angeles, CA
United States
View My Professional Profile
thermage effects  January 5, 2011 5:13 PM

I have noticed an intersting phenomenon in my practice over the last few years as it relates to Thermage. I have done Facelifts on at least 10 patients who had muliple Thermage treatments prior to their Facelifts and I have found that there was fat necrosis in the subcutaneous plane which made the Facelift much more difficult to perform because the skin flap was much more delicate. I am not 100 percent sure that this is solely related to Thermage but it seems to be the most likely culprit in my opinion.


AlexanderRivkinM.D.
Plastic surgeon
los angeles, CA
United States
View My Professional Profile
I wouldn't recommend it  January 6, 2011 4:01 PM

Thermage and Titan are different technologies, but I would be skeptical of you getting results that are that much better with Thermage. I also have my nurse do the procedure, but in California only nurses and doctors are allowed to operate the machine. I would insist, if you do have it done, that a nurse do the procedure.
That being said, Thermage has subtle results and will really only work on mild jowling in patients that are relatively on the younger side (below 60).
Even though I have the device, I am always hesitant recommending it. Skin tightening is tough - if you can do a combination of Thermage and fractional CO2, that would give the best results.


Suzie48
THERMAGE STOP AND INVESTIGATE  March 14, 2013 1:32 PM

I HAD EYE THERMAGE DONE IN NOVEMBER 2012. EFFECT DISASTROUS, MY UNDER EYE IS NOW MUCH THINNER, I LOOK TIRED AND OLD (PAST MY 48 YEARS)
EVERYONE I SPOKE TO PRIOR TO HAVING TREATMENT SAID I DIDN'T NEED IT, BUT I FELT THAT MY EYES WERE ALWAYS PUFFY. TO DESCRIBE HOW THEY LOOK NOW: BAGS ARE NOW FLAT ON MY CHEEK WITH NO VOLUME. I HATE IT, IT HAS COST ME £1700 AND MY CONFIDENCE.


jhonnys
Plastic surgeon
Coral Gables, FL
United States
View My Professional Profile
Thermage  August 8, 2013 10:09 AM

Thermage is a technology that has been around for over 10 years we highly recommend it. Great results when it is effectively done when done by someone that has not much experience with the technology the side effects could be fat loss
For more information: http://www.drjsalomon.com/body_thermage.asp




 



 

Welcome to the Ask An Expert section of our website! Our network of board certified physicians can answer any questions that you may have regarding plastic surgery, skin care, dermatology and other conditions. Popular topics include tummy tuck, liposuction, rhinoplasty, acne scars, facelift, breast augmentation and more. This frequently asked questions section is opened to everyone and you need to set up an account with Makemeheal before you can ask your own question. This service is absolutely free and is available to those who are interested in learning more about a particular cosmetic procedure, treatment or product.

Before asking a question, we recommend you to browse through our existing collection of questions and answers to ensure that the question you want to ask have not already been answered by our highly experienced experts. This will help you save time and get an answer more quickly. When asking a new question, we recommend you to be very detailed so that our experts could formulate a more precise & professional answer.

Of course, this service is not a substitute for a doctor visit or a consultation with a plastic surgeon or cosmetic dermatologist. The answer you will find here only serve as initial directions of thoughts and not as specific instructions. You should remember that it is utterly important to consult a skilled specialist prior to scheduling any type of treatment in order to get acquainted with possible contraindications. Only a one-on-one meeting will enable your cosmetic surgeon to properly evaluate your condition, conduct examinations and explain their results.