Thermage - Patients ask, Dr. Ringpfeil answers
Please feel free to use the blog below to share information about Thermage or to ask Dr. Franziska Ringpfeil a question that might be of interest to others.
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Written by Dr. Ringpfeil
Thermage and other Radiofrequency Devices
Overview:
Radiofrequency drives heat to the superficial, mid and deep dermis and stimulates collagen production.
Expected results:
Subtle tightening of the skin around eyes, face, neck and abdomen. Results are highly variable.
Preparation:
Topical anesthesia +/- nerve block by injection.
Post treatment instructions:
Sun protection for at least 3 months.
Time to desired results:
4-6 months
Contraindications:
None. Radiofrequency is considered safe on all skin types.
Duration of desired effects:
Up to 2 years.
Downtime:
Redness for up to 24 hours
Selected Patient Questions and Answers
# of surveys: 4187
Last updated: 1/02/2024 11:10 AM
PATIENT RATINGS
Would you recommend us?
- definitely
- 93.1%
- probably
- 6.16%
- maybe
- 0.58%
- not likely
- 0.08%
- no
- 0.02%
Compare our service to other similar practices
- excellent
- 87.9%
- very good
- 10.1%
- good
- 1.8%
- poor
- 0.06%
- very poor
- 0%
Overall doctor performance
- excellent
- 94.2%
- very good
- 4.89%
- good
- 0.80%
- poor
- 0.03%
- very poor
- 0%
The doctor listened to you attentively
- excellent
- 93.9%
- very good
- 4.97%
- good
- 1.05%
- poor
- 0.05%
- very poor
- 0%
The doctor took time to answer your questions
- excellent
- 94.0%
- very good
- 4.66%
- good
- 1.27%
- poor
- 0.02%
- very poor
- 0%
The doctor explained treatment options
- excellent
- 94.3%
- very good
- 4.16%
- good
- 1.25%
- poor
- 0.14%
- very poor
- 0.02%
The doctor explained treatment options
- excellent
- 92.0%
- very good
- 5.69%
- good
- 2.18%
- poor
- 0.11%
- very poor
- 0.0%
Front desk performance
- excellent
- 85.6%
- very good
- 10.2%
- good
- 3.66%
- poor
- 0.31%
- very poor
- 0.08%
Aesthetician performance
- excellent
- 88.6%
- very good
- 7.61%
- good
- 3.39%
- poor
- 0.24%
- very poor
- 0.08%
Office comfort
- excellent
- 90.9%
- very good
- 6.93%
- good
- 2.08%
- poor
- 0.05%
- very poor
- 0.05%
Parking
- excellent
- 66.4%
- very good
- 14.4%
- good
- 15.7%
- poor
- 2.49%
- very poor
- 0.9%
Friendliness of the staff during appointment
- excellent
- 90.9%
- very good
- 7.23%
- good
- 1.85%
- poor
- 0.05%
- very poor
- 0%
What WE DID WELL
(Answers:674)
The Dr. was excellent in every way !
#12011-04-18 11:48:00Ease of getting an appointment. Other places called I needed to wait more than 4 months for an appointment.
#22025-08-27the music and decor of the facility
#32025-11-30The waiting room was very pretty
#42025-11-30the personalized acne regiment.
#52025-08-16Pretty, Friendly Ladies up front!
#62011-01-13 11:13:22I enjoyed being seen in a timely fashion...Left my last dermatologist because of hours long wait times. Thank you for valuing my time.
#72025-12-27There was no option to thank Andrea, but she also did a lovely job.
#82011-12-20 08:37:39Very relaxed and comforting environment. This was my first visit with a dermatologist and am quite happy with the experience.
#92026-02-09i liked the registration process. It was very efficient.
#102025-11-19What can we do better?
(answers:373)
give me choices of what type of medicines that i can take
#12026-01-27smile more
#22010-09-09 10:34:11Better parking?
#32025-10-10You often have a long wait time in the room for the doctor. When she does come in it is not for a very long time.
#42010-08-23 17:00:56everything was wonderful
#52010-08-25 12:47:35Everything was delightfully pleasant and comforting.
#62011-03-28 09:42:42I think that you should just mkae the vists a little bit quicker, and thats all.
#72010-10-27 08:46:34Ask patient if they have any pain before asking them to waiting three weeks for appointment
#82025-04-17No complaints - overall best experience at any dermatologist.
#92011-09-27 12:59:17Completely satisfied
#102010-10-20 09:59:20
I have voluma that I do not like. It is like a bubble on my check. I saw my dermatologist about it and she didn’t want to dissolve it. My question is will RF help dissolve it?
Volume is a fast setting hyaluronic acid based filler. On the cheek it is typically injected over bone. Even if it was “changeable” by heat, I would not count on radiofrequency. There is no external radiofrequency device that reaches to bone safely unless a probe is inserted in that area.
Voluma can be dissolved with hyaluronidase that is injected with a needle where it was placed. The effects are almost immediate.
recently lost 30+ lbs The skin on my thighs is a bit saggy. Will thermage help?
Radiofrequency treatment is currently the best answer to non-surgical skin tightening. However, the radiofrequency energy needs to be delivered directly to area where tightening is needed, the second layer of the skin (dermis). This can be achieved with a number of devices that are now available in the US and many more in Canada and Europe. Infini, for example, delivers radiofrequency through insulated probes to the target layer (dermis) where old collagen and elastin is replaced by new collagen and elastin. Thermage, however, is one of the first generation radiofrequency devices that transmits radiofrequency on the surface of the skin and subsequent penetration into the layers where tightening needs to be achieved. Its limitation is the amount of energy that can safely be used not to burn the top layer of skin. In my opinion and experience, it achieve reproducible results in less than 50% of people who are treated.