Question 1

What tip and settings are you using, face, eye, or body tip?

Accepted Answer

A good answer names the specific tip and confirms the platform: "For your cheeks and jowls I will use the face tip. For around the eyes I switch to the eye tip. And I am using the FLX platform, which has a better comfort algorithm than the older CPT device." If they cannot name which tip they are using or do not know which platform they are on, that is a concern about whether they understand the tool they are using.

Question 2

How many passes do you perform and at what energy density?

Accepted Answer

A good answer describes a multi-pass approach and mentions how they adjust: "I do multiple passes at varying energy levels and I adjust the energy up or down based on how comfortable you find it. The comfort feedback method means we are always working at the highest tolerable energy, which is how you get the best result." A fixed single-pass protocol without any feedback adjustment is not following current best practice for Thermage.

Question 3

What results should I realistically expect given my degree of laxity?

Accepted Answer

A good answer is honest about scale: "Thermage works best for mild to moderate laxity. The published data shows a mean improvement of around one to two points on validated scales, with results developing over three to six months. It will not replicate surgical results. If you have significant jowling or excess skin, I would have an honest conversation about whether Thermage is the right tool or whether you need a combined approach or surgery." A provider who tells you Thermage will dramatically reverse significant laxity is over-selling what the evidence supports.

Question 4

Do you recommend adding a second session, and if so when?

Accepted Answer

A good answer is patient and evidence-based: "Most of the published evidence is for a single session. A second session at six to twelve months can give incremental improvement, but I would rather reassess at six months and see how you have responded before recommending that." You should not feel pressured to book a second session before the first is complete. An evidence-based provider says "let's see how this goes" rather than upselling upfront.

Question 5

Is there anything about my skin or health history that would affect my response?

Accepted Answer

A good answer shows they are actually screening you: "Yes, I need to ask about any implanted metal devices, including pacemakers or dental implants near the treatment area, recent fillers, any active skin conditions, and pregnancy. Subcutaneous tissue thickness also affects response, patients who are very lean or have a lot of fat in an area may respond differently." A provider who does not screen for RF contraindications before a monopolar radiofrequency treatment is not following safety protocol.

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