Cosmetic Dermatology

Thermage® and Pellevé™ for Skin Tightening

Thermage® and Pellevé™ for Skin Tightening

Loose skin of the face and neck is a common concern for patients. Jowls, excess skin at the jawline, and crepe-like skin of the neck can give the appearance of aging.  SkinCare Physicians is at the cutting edge of non-surgical skin tightening, offering several options to dramatically improve the appearance of loose skin without surgery.

The most useful procedures for skin tightening are based on delivery of radiofrequency energy. Thermage and Pellevé utilize the concept that when collagen is heated uniformly and intensely by radiofrequency, it undergoes contraction and induces a healing response. New collagen is produced which then leads to tightening of loose skin. While some patients notice improvement immediately, all of these devices will lead to continued improvement over a 4-6 month period. Most importantly, they all allow patients to gain skin tightening while avoiding invasive surgical procedures.

  • Thermage is most helpful for skin tightening at the cheeks, jawline, and upper neck, but can be used safely and effectively on the forehead, the eyebrow, as well as the arms, legs and abdomen.
  • Pellevé is specifically designed for fine lines and crow’s feet around the eyes, and our physicians have also discovered its usefulness for wrinkles of the upper and lower lips.

SkinCare Physicians has been integral to the development of skin tightening technology, and our physicians have invented and helped teach the most up-to-date techniques used for these procedures.

Thermage and Thermage FLX

Thermage is a very operator-dependent procedure and it is essential for patients to be treated with the most up-to-date techniques to achieve maximal results. This is what we believe separates SkinCare Physicians from other practices that perform Thermage. Since approaches to treatment and technology are evolving rapidly, SkinCare Physicians is uniquely positioned to allow our patients to quickly take advantage of these advancements. In fact, our doctors have discovered many of the Thermage advances now used around the world. Most recently, Thermage has become even better with the introduction of the brand new Thermage FLX machine. SkinCare Physicians is one of the first two practices in the United States to have this exciting new cutting-edge technology.

Example of Thermage treatment results on face and body

Our physicians have developed techniques that make Thermage almost pain free. Generally, patients feel a gentle, warm sensation when this device is applied to the surface of the skin. The procedure visit requires approximately one hour, or 35 minutes with Thermage FLX, and usually only one treatment is necessary. Maximum results are attained by repeating Thermage every 2-3 years. Results can be seen immediately in some cases but skin tightening continues to occur for approximately six months, which is when optimal results are seen. Some patients experience mild redness after treatment but this disappears within hours. Bruising and pain are very uncommon and there is essentially no ‘down time’ following Thermage.

Thermage is extremely safe. The number of adverse effects is extraordinarily small, and with the introduction of modified treatment guidelines in 2005 for Thermage, the number of adverse events has dropped to less than 0.1%.

Thermage FLX’s benefits:

  • Dramatically shortens the procedure time to 35 minutes
  • Improves patient comfort with remarkable technology advances
  • Significantly enhances results on jawline, cheeks and upper neck
  • Further prevents skin aging

Before & After Photos of Thermage®
Skin Rejuvenation

Full neck and ill defined jaw margin 6 months after Thermage radiofrequency treatment
Full neck and ill
defined jaw margin
6 months after Thermage
radiofrequency treatment

Pellevé

Pellevé is similar to Thermage in that it is non-invasive and based on a radiofrequency device that is applied to the surface of the skin. It was specifically designed to treat those annoying fine lines and small wrinkles around the lower part of eyes. However, SkinCare Physicians providers have discovered that it can be very useful for upper and lower lip lines as well.

The benefit of Pellevé is that each procedure can be done conveniently in approximately 15-20 minutes and it requires only 3-4 treatments spaced monthly for best results.  Patients experience a warm sensation when Pellevé is applied to the skin, and mild redness from the procedure usually fades within minutes to hours.

Frequently asked questions on skin tightening treatments

Learn more about our skin tightening procedures from the answers to these frequently asked questions.

Are Thermage and Pellevé procedures painful?

Each pulse of the machine produces a sensation of heat in the area. Fortunately, this heat sensation lasts only a fraction of a second.  The popular misconception is that Thermage and Pellevé hurt a lot.  They do not.  Our physicians have developed many new techniques that have virtually eliminated pain with these procedures.

How long will these skin tightening procedures take?

The Thermage procedure may take anywhere from 45 to 90 minutes depending on the size of the area being treated. The Thermage FLX last about 35 minutes. Pellevé can be performed in 15 to 20 minutes.

Do I need special preparation?

You may continue to use your topical creams and any oral medications up until the time of the procedure. Please avoid wearing jewelry and makeup on the day of your appointment.

When can I return to my normal activities?

There is no “down time” with Thermage and Pellevé. Redness is seen in some patients, but it disappears within a few hours. Swelling, particularly along the jaw line, is often subtle and usually resolves within a few days. Bruising and pain are uncommon after the procedure. There is no special care needed afterwards.

When will the results show?

Although some improvement is seen immediately in most patients, results will continue to improve gradually over the next 4 to 6 months. Since the effects are so gradual, the patient may not be aware of the extent of the improvement. Photographic comparison with pre-operative pictures can in some instances demonstrate the difference.

How many skin tightening treatments will I need?

For many patients one Thermage or Thermage FLX treatment will suffice. Repeat treatments may be needed for others. Pellevé usually requires three treatments.

When can I have another treatment?

A decision regarding further treatment can be made as early as one month; however, since benefits are delayed, further treatment usually does not begin for 4-6 months. Most patients repeat treatments every 2 to 4 years. Recent data suggests that treatment at one to two-year intervals can induce profound improvement that is superior to waiting longer.

How long will the effects last?

In some studies the results have lasted over five years, but treatment at 2 to 3 year intervals appears to maximize improvement. Recent data based on research led by SkinCare Physicians confirms that Thermage produces noticeable results in over 94% of patients treated.


At SkinCare Physicians, our doctors and staff are highly experienced with  skin rejuvenation technologies, including Thermage and Pelleve. Get started when you request a consultation online to come visit with us.

Back to top

Our Promise

Our team of renowned physicians and experienced support staff is committed to excellence in medical skin care and cosmetic procedures with a patient-centered focus for women and men in the greater Boston area and beyond.

Request a Consultation

Contact Us

The form below should not be used by patients to communicate clinical questions to SkinCare Physicians. It is not a patient portal. If your message is of an urgent, clinical or confidential nature, please call us instead at 1-617-383-8201.

Fields marked * are required


Terms of Use*
By checking the box on the contact form, you agree to the Terms of Use listed here: Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. By checking this box you hereby agree to hold SkinCare Physicians, its doctors and affiliates, harmless from any hacking or any other unauthorized use of your personal information by outside parties.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Physician society logos

SkinCare Physicians®

1244 Boylston Street (Route 9)
Chestnut Hill, Massachusetts 02467

Learn more about your rights and protections related to the No Surprises Act (HR133).

The dermatologists and other medical professionals at SkinCare Physicians specialize in a wide range of dermatology treatments and services, including laser hair removal, laser skin treatment, hair transplant, eyelid surgery, body contouring, psoriasis, skin cancer, BOTOX® Cosmetic, fillers, and Thermage®. From their offices in Chestnut Hill, they serve Boston, Brookline, Cambridge, Newton and Wellesley.

Keep in mind that each patient is unique and your results may vary.



SkinCare Physicians®
1244 Boylston Street (Route 9)
Chestnut Hill, Massachusetts 02467

Phone: (617) 731-1600 Fax: (617) 731-1601

Learn more about your rights and protections related to the No Surprises Act (HR133).

Keep in mind that each patient is unique and your results may vary.

The dermatologists and other medical professionals at SkinCare Physicians specialize in a wide range of dermatology treatments and services, including laser hair removal, laser skin treatment, hair transplant, eyelid surgery, body contouring, psoriasis, skin cancer, BOTOX® Cosmetic, fillers, and Thermage®. From their offices in Chestnut Hill, they serve Boston, Brookline, Cambridge, Newton and Wellesley.