Aging affects us all – the way we act, the way we feel, and definitely the way we look. But with advancements in skin care, you can have a say in the way aging affects your skin – and maybe even get back to the way you looked not so long ago. Thermage is a proven, unique radiofrequency treatment that can help improve the appearance of sagging or loose skin, giving you a smoother, sleeker and younger look and feel. Thermage works in just one treatment with little down time and delivers a natural looking result. It’s you, just younger looking and more confident.

What is Thermage?

Thermage is a safe, non-invasive procedure that's clinically proven to help smooth, tighten and contour skin for an overall younger looking appearance, by stimulating natural renewal of collagen the treatment delivers natural looking results with little to no downtime - on all skin colours, face and body, forehead, eyes, jaw line and jowls, all in a single procedure. Since there is no surgery involved you can generally return to normal activities immediately following the procedure.


Thermage treatments are all about energy – focusing radiofrequency energy to kick start the body’s own natural renewal process. Like most smart technologies, the process is relatively simple – it’s a combination of heat energy to treat deep tissue, and cooling effects, to protect the skin surface and deliver better patient comfort. And our latest evolution of Thermage includes patented Comfort Pulse Technology – gentle vibrations and interspersed cooling that make your Thermage treatment even more comfortable. Even so, it’s important to remember every patient’s circumstances are different, so for specifics, it’s best to consult your Thermage physician here at Bodhi Zen Clinic.

Treatment begins with a cooling effect on the skin for comfort and safety of surface layers

A specially designed treatment tip is placed against the skin in targeted areas.

Radiofrequency energy penetrates deep into the skin’s tissue, heating the treatment areas and remodelling the collagen.

Final delivery of cryogen to cool the epidermis.

Thermage is effective on:

  • The Eyes – hooding, fine lines and even our brow line can make us look worn-down. Thermage treats the upper and lower eyelids to help you look more youthful and rested

  • The Face – as we age, phrases like “turkey neck”, loose jowls, sagging skin and “what happened to my jawline?” creep in. Thermage smooth’s lines and wrinkles and remodels collagen for the overall health of the skin

  • The Body – aging doesn’t just affect the skin on our faces, our bodies see the effects too, with crepey, sagging skin and unwanted bulges and dimples. Thermage is a non-invasive way to smooth the skin on our bodies and even temporarily improve the appearance of cellulite

Give a lift to tired looking eyes

The Thermage eye procedure is the only procedure that helps smooth and tighten skin and decrease wrinkles and hooding in the eye area without surgery or injections, and little to no downtime.

Single treatment. Generally, some improvement is immediately visible and continues for up to six months.

Younger looking, more lifted eyes. Eyes look brighter. Skin feels tighter and smoother.

Get a Smoother, Tighter, Younger Looking Face

After the Thermage face procedure, you do not have to avoid the sun as with laser treatments. You can plan treatment any time that's right for you.

Thermage can also be used with many other aesthetic procedures. Combining IPL and Thermage is a great way to help restore firmer and smoother hands and eliminate unsightly age spots.

Little to no downtime. After treatment, you can quickly get back to your normal routine.

Color blind. Unlike lasers, the Thermage face procedure works on all skin types and colours.

Get a Tighter, Firmer and More Shapely Body

Thermage can also be used with many other aesthetic procedures. Combining IPL and Thermage is a great way to help restore firmer and smoother hands and eliminate unsightly age spots.

Tummies, knees, legs, arms and hands can be areas that show signs of ageing. Thermage has developed procedures that are designed especially to help smooth and tighten wrinkled, crêpey and sagging skin on these body areas.

How long is the treatment?

Thermage treatments average about 45 minutes for the face and up to an hour and a half for other parts of the body, depending on the size, location and condition of the area to be treated.

What kind of results can I expect?

Your skin can look smoother and more youthful as the tighter underlying collagen offers better support. Depending on what you have treated:

  • Your eyes can look brighter with reduced hooding.

  • Elsewhere on the body, wrinkled, crêpey or sagging skin can appear smoother; bulging skin can be tighter and firmer.

  • You can also see improvement in your cellulite. Your skin will be smoother with reduced dimpling.

Results vary depending on age and skin condition.

Some immediate results are usually visible and improve over time in the course of your body's natural collagen rebuilding process. For most patients, measurable tightening and contouring gradually appear in the two to six months following a single treatment session. Results can last years depending on your skin condition and ageing process.

When do the results appear, and how long do they last?

Will my skin go back to normalwhen the treatment expires?

Your skin will continue to 'age' as normal.

Will my skin feel any different to the touch after the treatment?

It may feel a sense of tightening. Skin tone will usually alter over the course of the first 4-12 weeks.

Will it make my skin more sensitive?

There is no clinical evidence to indicate that this is an issue

Can thermage cause skin cancer?

Can I avoid other cosmetic procedures if I do this?​

Thermage is NOT a laser. Radio-frequency has been utilised over the past 75 years and we have no clinical evidence of any evidence of this problem occurring.

How many treatments will I need?

Unlike many laser procedures requiring four or more sessions, Thermage treatment delivers results in a single treatment for most patients. Our aesthetic medical practitioners will determine the course of treatment that is right for you.

There's no special care needed after treatment and most patients return to their regular activities immediately following treatment.

What will I look like immediately after the procedure? Can I go right back to work?

Does it hurt?

Each time the treatment device touches your skin, you'll feel a brief cooling sensation, followed by a deep but brief heating sensation, followed by another cooling sensation. The heating sensation is a sign that the deep layers of your skin are reaching effective temperatures for tightening, while the cooling sensation protects the surface of your skin. Throughout the procedure, your practitioner will ask for feedback on the level of heat sensation to help balance your comfort with maximum results.

Each procedure has its own benefits. Thermage is a great non-invasive choice for skin smoothing, tightening and contouring. During your consultation, our aesthetic practitioners will discuss which procedure(s) is best for you and your desired results.

Thermage procedures are compatible with most other cosmetic procedures, like soft-tissue fillers, laser skin resurfacing or even Anti-wrinkle Injections. For best results you will need to discuss your past procedures, as well as your current expectations with your practitioner during your consultation.

Can I get a Thermage procedure if I've already had other procedures?

Is it safe?

Thermage procedures have an excellent safety record. Our practitioners can discuss this with you during your consultation.

How much does the Thermage procedure cost?

The cost depends on the area you're having treated. At the time of the consultation we can give you a more precise idea of cost.

''Significant improvements to Thermage technology give this non-invasive, no-downtime, rejuvenating treatment new appeal.'' 

Gillian de Bono from the FINANCIAL TIMES

puts her face under the grid


It was a Gwyneth Paltrow quote in the national press that piqued my interest. She was discussing assorted non-surgical cosmetic procedures she’d tried with varying degrees of success (Botox, apparently, made her look “crazy”) and enthused about a radiofrequency treatment called Thermage that “took five years off” her face yet involved no downtime. What she didn’t say – but is another big selling point to women who, like me, are wary of any procedure that can distort facial features (and, in the wrong hands, Botox and dermal fillers can certainly do that) – is that, because the whole face is treated, facial proportions remain unchanged. So you will still most definitely look like you, only a version that appears less tired, more relaxed and generally fresher-faced – hopefully.

Thermage is not new – How To Spend It featured it 10 years ago when it was launched into the UK from the US. It stimulates the body’s natural renewal process by generating an electric current that heats the deepest layers of the skin, where most collagen resides. As we get older, the collagen fibres that help to support our skin become increasingly fragmented and broken down, while our ability to produce new collagen also slows. The heat in the treatment causes fragmented collagen to reconfigure and tighten; it also causes inflammation that leads to wound healing and new collagen production. Over a period of weeks, the new and improved collagen helps to plump up the skin, which in turn works to reduce wrinkles and sagging flesh, and smooth surface texture.


Early forms of Thermage had a reputation for being painful, with worrying side-effects – such as burns and nerve damage – and inconsistent results. But over the years, practitioners (who are always doctors or nurses, as this is deemed a medical procedure) have become more experienced and the technology itself more refined. The latest machines, for example, incorporate Comfort Pulse Technology, which provides optimal dosage to the skin for maximum effect, while reducing discomfort with a new vibratory hand piece. Serious side-effects are now very rare.

Therapist Dr Tracy Mountford has one of the busiest Thermage clinics in the UK. She is a personal as well as a professional advocate, having had the treatment herself since it arrived in the UK. She explains that most of her clients use Thermage as part of a cocktail of treatments because one type alone can’t address all the signs of facial ageing, namely loss of muscle tone, skin elasticity and supportive fat. So, once someone has reached their mid-forties, it is sometimes combined with Botox and dermal fillers.

As Dr Mountford scrutinises my face, she confirms that a combination of treatments would indeed be her recommendation. But for the purposes of this feature, I am here to dip my face in the water with Thermage alone. While taking pains to manage my expectations, she anticipates that I will see a 3mm-5mm lift to my facial contours. She also recommends I have my eyes treated. Here I can expect a 1mm-2mm lift. For maximum impact, she plans to treat my neck, too.

A grid transfer is applied to my face, though Dr Mountford explains that each procedure is tailor-made to the individual client. She then slowly moves a handheld device with a smooth, flat tip across the area to be treated, stopping every couple of seconds to apply a targeted pulse of radio frequency. Each of these produces a momentary, hot, stinging sensation that Gwyneth Paltrow describes as “quite painful… like someone’s smacking your face with a rubber band that has an electric shock in it”. It’s true. Some pulses are rather unpleasant, and a few make me visibly flinch (the jaw line, in particular, can be sensitive), but thankfully, most are bearable. Throughout the treatment, Dr Mountford adjusts the heat intensity to balance my comfort with the desire for optimum results. I focus on the electronic-music-like tones that are emitted during each pulse and try to zone out.

A smaller device is used for my upper and lower eyelids and, at the end of an hour, I’m done. I have no lingering discomfort, sensitivity, reddening or swelling and am back at my desk, colleagues none the wiser, an hour later (Gwyneth says she went out for dinner right after her Thermage session). Although I am told that some improvements are usually felt or seen immediately, I try not to obsess about my face in the following hours and days as it usually takes 12-16 weeks for the body’s natural collagen-building process to kick in fully and for all the benefits to be visible. Instead, I decide the best, least subjective and most scientific way to assess the results is to compare my before and after photographs taken with the same camera, in natural light at the same time of day.

Four months later, I am sitting in Dr Mountford’s office having my after pictures taken. I am hopeful of a good result, but have an open mind. Any improvements have been so gradual that I have not had a eureka moment in front of the mirror; nor have friends or family commented on any changes in my appearance. The images are immediately loaded onto a computer (with, I can vouch, no time for any digital skulduggery) and we compare today’s photographs with the way I looked pre-treatment.

Now, forgive me for not showing you those pictures in their entirety, but no one – not even my nearest and dearest – gets to see me with my hair scraped back flat against my head, without a scrap of make-up or even a slick of moisturiser to bring my early-morning skin to life. But the before and after close‑ups of sections of my face tell the story well enough.

Frankly, I’m quite shocked at the differences. The multiple lines that were etched across my forehead are now barely noticeable; my eyes are lifted and less hooded; and the bags under them are less pronounced; the line between the corner of my mouth and my nose is less deep; and my jaw line is smoother and tighter with more definition in the angle running between my ear and chin.

The results, says Dr Mountford, are what she would expect from someone who has a healthy lifestyle. Heavy smokers, sun-worshippers and yo-yo dieters are likely to see less improvement, as the tone and elasticity of their skin will be more compromised. Results are also age‑related. The ideal client is in his or her forties or fifties. Older people will benefit too (Dr Mountford’s clinic has regular Thermage clients in their seventies), but they may need to repeat the treatment more frequently. Most of Dr Mountford’s Thermage clients return every 18 months to two years.

Thermage can be used on all skin types and colours and also on other areas of the body. Ageing hands, flabby upper arms, saggy tummies and bottoms and baggy knees can all benefit – although you will need deep pockets for extensive body work, as Thermage technology has been expensive to develop: treatment of a single, small area costs £2,000.

Personally, I’m going to find it hard to resist going back to Dr Mountford in two years’ time. I may be a little disappointed that no one has commented on my enhanced looks, but then I reflect: the changes were so gradual that I needed photographic evidence myself to appreciate the improvements. As well as gaining a fresher-looking face with Thermage, I’ve learned a valuable lesson: women who say they want subtle, natural-looking results shouldn’t expect a chorus of compliments, too.

Dr Tracy Mountford, The Cosmetic Skin Clinic, 84 Rogers Lane, Harley Street, London W1 Single area treatments cost from £2,000; a combined face, eyes and neck procedure, £3,500.  

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