Skin Tightening and Lifting

Thermage™ CPT Skin Tightening Procedure

Key Message Points


Thermage CPT™ skin tightening procedure is a safe and effective non surgical skin tightening treatment

Thermage CPT™ procedure tightens and rejuvenates skin with no downtime



 

1. WHAT IS THE THERMAGE™ CPT SKIN TIGHTENING PROCEDURE?

The Thermage™ CPT skin tightening procedure is a non-invasive treatment to tighten and gently lift skin, improve facial and body contour and rejuvenate skin.

The Thermage™ CPT skin tightening procedure employs a patented capacitive radiofrequency (CRF) technology called ThermaCool to safely heat the deeper layers of your skin, stimulating your existing collagen and promoting new collagen growth. It has been clinically proven to tighten and gently lift skin to smooth out wrinkles and renew facial and body contours. This non surgical non-invasive procedure is fast and easy, and requires no downtime from normal activities. Unlike lasers, the procedure can be performed on patients of all skin types. The ThermaCool device has been cleared by the FDA in November 2001 for the non-invasive treatment of facial wrinkles and rhytides, including upper and lower eyelids and for the temporary improvement in the appearance of cellulite.
 

2. WHAT IS UNIQUE ABOUT THE THERMAGE™ CPT SKIN TIGHTENING PROCEDURE?

The Thermage™ CPT Skin Tightening Procedure is one of the latest technologies for skin tightening. It uses Comfort Pulse Technology (CPT) to improve efficacy, improve patient comfort and improved patient satisfaction. The Thermage™ CPT Skin Tightening Procedure uses 3 innovations: the new framed tip, the revised and more efficient software and the new vibrating handpiece.

Ergonomic Handpiece Enables "One-Handed Treatments".


The new kapton polyimide framed tip allows for better and more uniform tissue heating which results in 25% more tissue tightening compared to other similar skin tightening procedures. The improved software and vibrating handpiece allows for improved and greater tissue heating and tightening with better patient comfort.
 

3. HOW DOES THE THERMAGE™ CPT SKIN TIGHTENING PROCEDURE WORK?

The Thermage™ CPT skin tightening procedure uses a sophisticated treatment tip, the framed ThermaTip, which delivers a controlled amount of capacitative radiofrequency energy. With each touch to the skin, the ThermaTip device uniformly heats a large volume of collagen in the deeper layers of the skin and its underlying tissue while simultaneously protecting the outer layer of the skin with cooling. This deep uniform heating action causes deep structures in your skin to immediately tighten. Over time, remodelled collagen is produced to further tighten the skin, resulting in healthier, smoother skin and a more youthful appearance.
 

4. WHAT CAN I EXPECT DURING THE THERMAGE™ CPT SKIN TIGHTENING PROCEDURE?

With each touch of the ThermaTip device, you will experience a brief vibration and mild heating sensation as the radiofrequency energy is delivered to your skin and underlying tissue. Dr Joyce Lim will control the amount of vibration and energy delivered to balance procedures comfort with maximum results. The ThermaTip device is cooled before, during, and after heating to protect your skin and the vibration makes the treatment more comfortable.
 

5. WHAT MUST I DO AFTER THE THERMAGE™ CPT SKIN TIGHTENING PROCEDURE?

After the Thermage™ CPT Skin Tightening Procedure, there is no downtime and you will not require any special care. You can return to your normal activities immediately after the treatment. Your skin should feel tighter and smoother after the procedure. The skin may look red immediately after the procedure but this redness will disappear after a few minutes.
 

6. WHAT KIND OF RESULTS SHOULD I EXPECT FROM THE THERMAGE™ CPT SKIN TIGHTENING PROCEDURE?

You can expect collagen tightening resulting in healthier, smoother skin and a more youthful appearance. You can expect:

  • Smoother,tighter skin with less sagging
  • Redefined contours
  • Softening of wrinkles and fine lines on the face and body
 

7. WHEN CAN I EXPECT TO SEE RESULTS AFTER THE THERMAGE™ CPT SKIN TIGHTENING PROCEDURE?

You may see and feel that the skin is tighter and smoother after the procedure. However, there is additional tightening over time, with best results seen after 4-6months.
 

8. HOW LONG WILL THE RESULTS LAST AFTER THE THERMAGE™ CPT SKIN TIGHTENING PROCEDURE?

Results are long lasting depending on your skin condition and the natural aging process. Some patients continue to see results up to 24 months or longer.
 

9. WHAT ARE THE SIDE – EFFECTS OF THE THERMAGE™ CPT SKIN TIGHTENING PROCEDURE?

The Thermage™ CPT Skin Tightening Procedure has an excellent safety profile. Potential side-effects are generally mild and may include redness, mild swelling, small blisters and small bumps which clear within the next few days. Skin surface irregularities like depressions have not been reported since 2001, with the new Thermage™ CPT Skin Tightening Procedure.
 

10. WHAT ARE THE ADVANTAGES OF THERMAGE™ CPT SKIN TIGHTENING PROCEDURE OVER OTHER SKIN TIGHTENING PROCEDURES?

The Thermage™ CPT Skin Tightening Procedure is an effective non invasive, non surgical skin tightening procedure. It is comfortable and does not require sedation unlike other skin tightening procedure. Unlike other radiofrequency procedures which requires four or more treatments sessions, the Thermage™ CPT Skin Tightening Procedure has produced results in the majority of patients in a single treatment.

Thermage™ CPT Skin Tightening Procedure for Face and Neck

1. WHO ARE SUITABLE CANDIDATES FOR THERMAGE™ CPT SKIN TIGHTENING PROCEDURE FOR FACE AND NECK?

Thermage™ CPT Skin Tightening Procedure for the face and neck is suitable for anyone who has mild to moderate sagging skin on the face and neck. It is safe for all skin types and is equally effective for both men and women. You will benefit from Thermage™ CPT Skin Tightening Procedure if you have:

  • Prominent laugh lines and marionette lines
  • Sagging skin on the mid and lower face
  • Heavy jawline and jowls
  • Loose skin on your neck

2. HOW MANY THERMAGE™ CPT SKIN TIGHTENING PROCEDURES ARE NEEDED?

One treatment will improve the skin laxity, skin lines and wrinkles and redefine the face and neck contour.

3. IS THE THERMAGE™ CPT SKIN TIGHTENING PROCEDURES PAINFUL?

No. You will feel some vibration and a warm sensation during the treatment. The treatment takes about 45-60minutes.

Eyes by Thermage™ Skin Tightening Procedure

1. WHAT IS THE EYES BY THERMAGE™ SKIN TIGHTENING PROCEDURE?

Eyes by Thermage™ Skin Tightening Procedure is the only procedure that smoothes and tightens skin, decreases wrinkles and hooding in the eye area without surgery, injections or downtime. It is an FDA cleared procedure for the non-invasive treatment of wrinkles, including the upper and lower eyelids.
 

2. HOW DOES THE EYES BY THERMAGE™ SKIN TIGHTENING PROCEDURE WORK?

As we age and our collagen stretches, skin sags and wrinkles appear. Eyes by Thermage™ is a single treatment that uses a unique, deep-heating technology to stimulate and tighten your existing collagen as well as activate new collagen growth. The effects continue to improve for months with results that last.
 

3. WHO ARE THE BEST CANDIDATES FOR THE EYES BY THERMAGE™ SKIN TIGHTENING PROCEDURE?

Anyone who has mild to moderate skin creepiness of eyelids skin, hooding of eye lid, crow’s feet, fine lines and wrinkles around the eyes.
 

4. WHAT CAN I EXPECT DURING THE EYES BY THERMAGE™ SKIN TIGHTENING PROCEDURE?

Before the procedure, Dr Joyce Lim will put some eye drops to anesthetise the eyes. A plastic eye shield is placed between the eyelids and the eyeball to protect the eyeball during the Thermage™ CPT Skin Tightening Procedure. You will feel a warm sensation on the eyelids as the treatment tip is placed on the eyelids. Both the upper and lower eyelids are treated.
 

5. WHAT MUST I DO AFTER THE EYES BY THERMAGE™ SKIN TIGHTENING PROCEDURE?

There is no downtime and you can wear make-up and return to your normal activities immediately after the treatment.
 

6. WHAT KIND OF RESULTS SHOULD I EXPECT FROM EYES BY THERMAGE™ SKIN TIGHTENING PROCEDURE?

Eyes by Thermage™ Skin Tightening Procedure improves your skin tone and texture while effectively tightening and contouring skin for an overall younger appearance. Results are subtle and improve over time as new collagen forms. Individual results may vary.

Your eyes will appear more open and alert and look brighter. There is reduction of hooding and creepiness of eyelid skin. The eyelid skin feels tighter and smoother. There is softening of crow’s feet and lines and wrinkles. The under-eye sagging are less obvious. The newly smooth skin of your eyelids makes it easier to apply eye shadow and eyeliner.

7. WHEN CAN I EXPECT TO SEE RESULTS AFTER THE EYES BY THERMAGE™ SKIN TIGHTENING PROCEDURE?

You may see and feel that the skin is tighter and smoother after the procedure. However, there is additional tightening over time, with best results are seen after 4-6months.
 

8. HOW LONG WILL THE RESULTS LAST AFTER THE EYES BY THERMAGE™ CPT SKIN TIGHTENING PROCEDURE?

Results are long lasting depending on your skin condition and the natural aging process. Some patients continue to see results up to 24 months or longer.
 

9. WHAT ARE THE SIDE –EFFECTS OF THE EYES BY THERMAGE™ SKIN TIGHTENING PROCEDURE?

The Eyes by Thermage™ Skin Tightening Procedure has an excellent safety profile.

In a multi-center study, patients were treated with Eyes by Thermage™, and their results followed for six months. Patients reported overall procedural satisfaction and experienced smoother skin tone and easier make-up application.
 

The study also showed that Eyes by Thermage™ is safe and side effects are minimal.

10. WHAT ARE THE ADVANTAGES OF EYES BY THERMAGE SKIN TIGHTENING PROCEDURE OVER OTHER SKIN TIGHTENING PROCEDURES?

The Eyes by Thermage™ Skin Tightening Procedure is the only non surgical skin tightening procedure that is effective and that can be safely done on the eyelids. It is comfortable and does not require sedation. You will see results in a single treatment.

Body by Thermage™ Skin Tightening Procedure

1. WHAT IS THE BODY BY THERMAGE™ SKIN TIGHTENING PROCEDURE?

The Body by Thermage™ skin tightening procedure is a non-invasive treatment to tighten and gently lift skin, improved body contour and rejuvenate skin. It can temporary improve cellulite.

The Body by Thermage™ skin tightening procedure employs a patented capacitative radiofrequency to safely heat the deeper layers of your skin, stimulating your existing collagen and promoting new collagen growth. It has been clinically proven to tighten and gently lift skin to smooth out loose skin and renew body contours.
 

2. WHAT IS UNIQUE ABOUT THE BODY BY THERMAGE™ SKIN TIGHTENING PROCEDURE?

Body by Thermage™ Skin Tightening Procedure uses a large kapton polyimide framed tip which allows for deeper and more uniform heating of the deeper tissues. The large 16cm2 tip allows for treating a larger area in a shorter time. It is used for tightening and contouring the skin on the tummy, thighs, arms, and buttocks or anywhere where there is lax skin. Body by Thermage™ is also FDA cleared for the temporary improvement in the appearance of cellulite.

3. WHO ARE THE BEST CANDIDATES FOR THE BODY BY THERMAGE™ SKIN TIGHTENING PROCEDURE?

Anyone who has flaccid and draping skin, mild to moderate skin laxity, mild to moderate skin wrinkles or anyone who is looking to improve the quality of their skin.
 

4. WHAT CAN I EXPECT DURING THE BODY BY THERMAGE™ SKIN TIGHTENING PROCEDURE?

With each touch of the framed ThermaTip, you will experience a sensation of heat as the radiofrequency energy is delivered to your skin and underlying tissue. Dr Joyce Lim will control the amount of energy delivered to balance procedures comfort with maximum results. The ThermaTip device is cooled before, during, and after heating to protect your skin and makes the treatment more comfortable.
 

5. WHAT MUST I DO AFTER THE BODY BY THERMAGE™ CPT SKIN TIGHTENING PROCEDURE?

There is no downtime and no special care is needed after the Body by Thermage™ Skin Tightening Procedure. You can return to your normal activities immediately after the treatment. Your skin should feel tighter and smoother after the procedure. The skin may look red immediately after the procedure but this redness will disappear after a few minutes.
 

6. WHAT KIND OF RESULTS SHOULD I EXPECT FROM THE BODY BY THERMAGE™ SKIN TIGHTENING PROCEDURE?

You can expect collagen tightening resulting in healthier, smoother skin and a more youthful appearance.

Arm Treatment Results

  • Significant reduction in loose skin and wrinkles
  • Smoother skin textures and tone
  • Reduction of creepiness
  • Smoother, tighter skin with less sagging

Hands Treatment Results

  • The texture of your hands will be improved. You will have smoother, softer skin
  • Less visible blood vessels
  • Increased dermal thickness
  • Smoothing of wrinkles. Tighter, less creepy skin
  • Improved skin thickness and elasticity. Appreciable change in pinch test outcome

Abdomen Treatment Results

  • Marked tightening of entire abdominal skin
  • Reshaping of sagging umbilicus
  • Significant improvement of surface texture.

Thigh Treatment Results

  • You will note gradual improvement in wrinkling and cellulite
  • You will have smoother and tighter skin

Star Treatment

WHAT IS THE STAR TREATMENT?

The STAR Treatment is an innovative combination of Skin Tightening and Rejuvenation (STAR). It combines two treatment procedures – the Broadband Light (BBL) photorejuvenation and the SkinTyte Infrared skin tightening technology to effectively address the full spectrum of skin conditions associated with aging, active lifestyle and skin damage.

SkinTyte Skin Tightening

1. WHAT IS THE SKINTYTE SKIN TIGHTENING TREATMENT?

The SkinTyte Skin Tightneing Treatment utilizes advanced infrared light technology, and patient tailored filters to deeply heat dermal collagen while continuously protecting the entire treated area with sapphire contact cooling for optimal clinical endpoints, safety and comfort. Targeted heating causes soft tissue coagulation and deep tissue heating. This process initiates the body’s natural healing process, leading to firmer and more youthful skin. The full effect of skin firming treatments can be seen over several subsequent months.

2. HOW DOES THE SKINTYTE SKIN TIGHTENING TREATMENT WORKS?

The SkinTyte Infrared technology delivers a range of uniform and targeted infrared energy to deeply heat dermal collagen while protecting the entire treated area with sapphire contact cooling. With no need for a topical anaesthetic, the energy is delivered in rapid, gentle pulses to promote partial denaturation and contraction of the collagen, initiating the body’s natural healing process. Following treatment, a new foundation of collagen is created leading to increased tissue firming and a more youthful skin.

The integrated thermoelectric monitoring assembly enables its sapphire crystal and sensors to continually and precisely maintain temperatures from 0 °C – 30 °C with adjustability of every degree in between. Patients will be comfortable throughout treatment.

3. WHO ARE IDEAL CANDIDATES FOR SKINTYTE SKIN TIGHTENING TREATMENT?

The SkinTyte treatment is safe and effective for all skin types. It can and comfortably treats any area of the body where improvement is desired, giving patients a firmer and more youthful appearance. Popular areas include the face, neck, abdomen, thighs and arms.

4. WHAT CAN I EXPECT DURING THE SKINTYTE SKIN TIGHTENING TREATMENT?

Your eyes will be protected by safety goggles. The SkinTyte infrared light energy is delivered in a sequence of rapid, gentle pulses while cooling and protecting the entire treated surface. Powerful cooling maintains the outer surface of your skin at a cool temperature before, during and after each pulse providing you a comfortable and safe procedure. A series of pulses will be repeated over the treatment area to ensure best results. You will feel a sensation of warmth. Treatment takes 30 min.

5. WHAT MUST I DO AFTER THE SKINTYTE SKIN TIGHTENING TREATMENT?

No special care is needed. There is no downtime. You can resume normal activities and apply makeup immediately after the procedure. Use a sunscreen.

6. HOW MANY SESSIONS DO I NEED?

A series of 3 to 5 treatments, spaced 4 weeks apart is typical of most patients. Dr Joyce Lim will personalize a treatment plan based on the level of improvement you desire.

7. WHEN CAN I EXPECT TO SEE RESULTS?

Full results often take up to 4 months as the collagen foundation of the skin is rebuilt and strengthened. You will experience improvement in skin laxity and reduction in surface irregularity.

8. WHAT ARE THE ADVANTAGE OF SKINTYTE SKIN TIGHTENING TREATMENT OVER OTHER PROCEDURES?

SkinTyte offers fast, safe and effective treatments tailored for all skin types, making it the most cost-effective tissue heating device on the market. The sapphire crystal and sensors keep the patient comfortabale during treatment. Combined with the BBL skin rejuvenation, it provides a non invasive approach to combined skin tightening and skin rejuvenation.

Thread lift

1. WHAT IS THREAD LIFT?

Thread lift is a skin tightening procedure where suture threads with cones are inserted just below the skin to tighten loose skin. There are two advantages- the skin is tighten and lifted immediately after the procedure and the skin gets firmer with new collagen that is formed from stimulation of fibroblast by the threads. The threads will be removed by the body and there are no allergic reactions to the threads. 

There are many types of threads and many methods of threads insertion. The threads (Silhouette Soft) that Dr Joyce Lim used are FDA approved and manufactured in the USA. We also use threads with barbs like PDO threads and Happy Lift.

2. HOW DOES SILHOUTTE SOFT WORK?

The Silhouette Soft consist of one treatment with two actions: 

First there is a lift action for an immediate and discreet effect. Results can be seen instantly, the moment Dr Joyce Lim models the treated area, according to your wishes and needs. 

Secondly there is a regenerative action for gradual and natural results. Through the process of re-absorption, the component of Silhouette soft restores your lost collagen to give more definition to your features, while maintaining volume over time. 

3. WHAT CAN I EXPECT DURING THE THREADLIFT TREATMENT?

Local anaesthesia is injected into the area where the threads will be inserted. The threads are introduced by a small needle and are passed just below the skin to lift the skin. The whole procedure takes half an hour. The next few days there may be some bruises and mild swelling which will resolve spontaneously. There can be little dimples at the beginning where the treads are pulled on the skin. These dimples will disappear with time.  

4. WHICH AREAS CAN BE TREATED?

The threads can be used on the cheeks, the neck, eyebrow and jawline. It is suitable for younger patients who would like their eyebrows raised slightly or in individuals where initial sagging of the skin in the cheek and neck area has occurred.  

5. HOW LONG WILL THE EFFECTS LAST?

The duration will depend on individual skin and degree of aging. Generally most patients will see improvements over 1-2 years, after which the tissue begins to sag again.

Ultherapy

1. WHAT IS ULTHERAPY?

The ultherapy treatment is the only non-invasive procedure that is US FDA- cleared to lift skin on the neck, under the chin and on the eyebrow. It has also received FDA clearance for improving lines and wrinkles on the decollete.

Ultherapy is a non invasive, no downtime procedure that tightens and lifts skin and builds collagen in a single treatment using ultrasound and gives natural results. You can achieve a fresher, more youthful look from the brow to the chest.

2. HOW DOES ULTHERAPY WORKS?

Ultherapy delivers focussed ultrasound energy to the muscular layer that can be tightened to lift skin (the same layer that surgeons used in facelift procedures). This energy immediately strengthen weak collagen and initiates the body’s response to stimulate the growth of new collagen.

The Ultherapy procedures uses ultrasound imaging which allows Dr Joyce Lim to see the layers of tissue she is treating , ensuring energy is delivered safely and to where it will be most beneficial. Ulterapy by passes the skin surface to deliver energy at optimal depths, temperature and precision.

3. HOW LONG DOES THE ULTERAPY TREATMENT TAKES?

The treatment time will depend on the area being treated. A face and neck procedure takes 60-90 minutes, while a chest procedure takes 30 minutes.

4. WHAT CAN I EXPERIENCE DURING THE ULTHERAY TREATMENT ?

As the ultrasound energy is delivered, you will feel tiny amounts of heat or pinprick sensation being deposited to precise depths to initiate the collagen-building process. The sensation only lasts while the ultrasound energy is being delivered. Generally a pain medication and topical anaesthesia is applied prior to the procedure to make the experience as pleasant as possible.

5. WHAT CAN I DO AFTER THE PROCEDURE?

After the Ultherapy procedure, you can resume your normal activities immediately. There is no special post treatment measures.

6. WHEN CAN I EXPECT TO SEE RESULTS ?

You may see and feel the skin is tighter after the ultraepy procedure but best results are seen after 2-3months.

7. WHAT IS UNIQUE ABOUT ULTHERAPY?

It is the only non-invasive aesthetic procedure that is US FDA cleared:

  •             To lift skin tissue
  •             To treat decollete
  •             To use ultrasound imaging to visualise tissue while treating

8. WHAT ARE THE DATA FROM THE ULTHERAPY STUDY?

A study was conducted with KineMed Inc where patients were treated with Ultherapy on one side of the face and not the other. On the treated side, Ultherapy treatment increased the rate of collagen production an average of 1.4 fold and rate of collagen production of types I and III (the collagen associated with aging) was 42% higher compared to the untreated side.

Viora RF

1 What is Viora RF?

Viora RF is a non invasive, non surgical alternative to tighten and lift sagging skin. It uses bipolar radiofrequencty energy to stimulate collagen remodelling helping to restore skin elasticity and thicken the dermis. The result is a firmer, smoother and more elastic skin.

2 How does Viora RF works?

Viora RF uses Channeling Optimized RF Energy (CORE) which delivers different levels of RF energy into different depths in the skin to stimulate collagen production in various skin layers. Treatments can be performed on facial areas and body and is painless. It also has a special handpiece to address fines wrinkles and small areas like the upper lip.
 
CORE Technology works in several ways:

1    The application of RF energy to the dermis and subcutaneous layers deploys heat to increase diffusivity of oxygen released by blood cells, increases cell metabolism, breakdown of rigid collagen cross links and increases skin elasticity and improves skin texture.

2    Deep tissue heating promotes the breakdown of fat cells by an increased temperature to the area which facilitates metabolism or faster breakdown of the stored energy (triglycerides) in the fat cell. When triglycerides are released, the result is physical atrophy, or shrinkage of the fat cell.

3    Mechanical Stretch is caused by electrical pulses released from the RF electrodes that activate fibroblasts located in the dermis in order to induce gene expression of the Type I and III collagen (most abundant in skin), stimulate fibroblasts to produce collagen and enhance secretion and enhance the elasticity of the collagen.

4    Reaction and V-FORM stimulate the lymphatic system by incorporating vacuum to intensify the treatment to facilitate deeper penetration of RF energy, increase local blood circulation, increase the oxygen level and nutrient diffusion, stimulate lymphatic drainage and reduce edema (accumulation of fluids), and enhance the elasticity of the septae (connective tissue).