well thermage is indeed an fda approved procedure that super heats the skin and specifically the collagen which is one of the main building blocks of skin and theoretically would form new younger and tighter collagen. now that process doesn’t take place over night. and so the manufacturer has advised physicians and secondarily patients that they will not see an immediate result. the hoped for result may take 4 or 5 or 6 months to achieve. that process is probably not achieved the success that we had hoped it might. again by observation because the patients have to accept that when they are employing a new technology. we are all learning about it so the first kid on the block may be satisfied and may be disappointed. i think to this point we’re a little bit disappointed. now that said there haven’t been any complications. i think most patients consider the significant complication to have hit their wallet because they didn’t get much for their money. and it’s not inexpensive. it can be several thousand dollars because it means a visit in the operating room the doctor’s time the technical the cost of the technology. so again not harmful but not really delivering the goods. certainly not a substitute for a surgical facelift. and many services technologies kind of position themselves as less invasive less traumatic less expensive less everything quote facelift but the answer is they can’t match the proven record of a surgical procedure. it’s just not possible by having the skin treated by a beam of light to get rid of a saggy chin and jowls and the product of many years of ages and perhaps even some dissipation.
what is your opinion of thermage?