ThermiTight on my Mind: The Best Kept Secret in Skin Tightening

thermirfWhen you think of skin tightening, what’s the first procedure you think of ? Facelift? Ultherapy®? It’s probably no not the ThermiRF & ThermiTight procedures. But maybe it should be.

The ThermiRF® is the unit used during the ThermiTight® procedure and has been approved for the use of temperature controlled radio frequency for skin tightening since 2013. It was quite the trailblazer, the first machine of it’s kind.

So, it’s about time you know about it! Right?

What is ThermiTight?

ThermiTight is a procedure that uses the ThermiRF SmartTip thermistor probe to inject 42°C RF (radiofrequency energy) heat below the surface of the skin to promote the growth of our natural collagen, making our skin tighter and more supple.

It’s painless, can be used on light or dark skin, requires no downtime, and only needs 1 treatment to see meaningful results.

Used for Skin Tightening on:

  • Lower Face
  • Neck
  • Abdomen
  • Arms

The Science of ThermiTight

thermitight lower face

Before and After ThermiTight

The ThermiTight uses RF Energy to cause controlled damage to the skin. By causing controlled damage you promote the neocollagenesis process, the process of making collagen.

I won’t get too detailed here but basically, by causing controlled damage, you disrupt the lives of the fibroblasts that live there. Fibroblasts are the cells responsible for producing collagen in our skin.

Fibroblasts spend their short careers in the business of making collagen, but when they get to be around 20 they start to get lazy. By our 30’s they start saving up for the 90″ flatscreen, and retire by around 40.

That’s why skin sags. The collagen in our body starts to dissipate and, without the production of more, your skin loses volume and starts to crease and sag.

By delivering heat between 42-84°C delivered directly into the dermis and damaging the structural walls of the fibroblasts, we can motivate the fibroblasts to temporarily leave retirement and make more collagen to keep their walls intact.

Collagen Diagram: Before and After Neocollagenisis

Fibroblasts produce collagen to add volume to the skin.

What differentiates the ThermiTight from other RF treatments is the Thermal Image Guidancefeature. This feature gives it the capability to control the temperature of the heat, deliver it to the ideal depth, and pinpoint that heat to the exact area for the best result possible.

thermirf/thermitight thermal image guidance

Thermi RF / ThermiTight Thermal Image Guidance

This also enables physicians to monitor and regulate the external temperature of the skin, to protect those outer layers (and not burn the hell out of you), while still staying in the range of heat that is necessary to make a noticeable change.

One thing to know about collagen is that it takes time to grow, so you probably won’t see change for 4 to 10 weeks. The ultimate results can be seen anywhere from 3 to 6 months post treatment. However, the collagen in our body lasts longer than 7 years, so it’s definitely worth the wait!

How it Goes Down

First, you and your doctor will discuss the areas of concern and what you expect from the treatment.

Next, she will mark the exact spots to be treated and will use a small needle to inject a numbing agent onto the skin.

After you’re numb, she will use the SmartTip™ thermistor probe to inject RF energy to the under layers of your skin.

She’ll gently move it up and down to make sure that the area is accurately and equally heated. Since dermal collagen begins to contract between 42-84°C, she will monitor your skin to be sure that it stays in the 42°C range.

The entire procedure takes about 45 minutes depending on the treatment area. After it’s done, the doctor will wrap you up and send you home. If your doctor is giving you a sedative, which it doesn’t hurt to request, then make sure you have a ride home.

Here’s a great video of the procedure from start to finish but don’t let it scare you. You’ll see NONE of this because you’ll be chillin’, and your face will be numb so you won’t feel a thing.

Did you spew? Some crazy looking stuff. But that’s what Valium’s for…

What To Expect

You will probably be swollen for a few days or, if you’re like me, you’ll look like a bobble head for a good week, but don’t worry, it’s not super painful. Your doc may prescribe a stronger pain med but a lot of people are cool with just a Tylenol®.

You will be told to ice the area on and off for the first couple of days, but other than that it’s just a waiting game.

Some people feel like they see an immediate tightening, but others experience the improvement over time. Check out these before and after shots and you tell me if it’s worth the wait.

Before & After ThermiTight

Here are a few examples of the results of ThermiTight.

ThermiTight on the Face

Before and After Thermitight

Before and After ThermiTight

ThermiTight on the Neck

thermitight neck

Before and After ThermiTight performed by W cosmetic surgery in Philadelphia

Before, 6 months & 15 months after Thermitight

Before, 6 months & 15 months after ThermiTight performed by Dr. Leonard Miller at the Boston Center for Facial Rejuvenation

thermitight neck

Before and 3 Months After ThermiTight performed by Dr. H. Michael Roark at the Lajolla Cosmetic Surgery Center 


ThermiTight on the Abdomen


Before and After ThermiTight

Before and After ThermiTight

Before and After ThermiTight

Before and After ThermiTight

ThermiTight on the Back

thermitight on back

Before and After ThermiTight              *performed by Dr. Leonard Miller at the Boston Center for Facial Rejuvenation

Cost of ThermiTight

The cost of ThermiTight  runs from $1500 to $4000 depending on the area being treated, the doctor that’s performing the procedure, and the city you live in.

Happy skin tightening!

beautyblackbook keeping you in the know


Sign up for Beauty Updates!

  • (nickname, fullname, alter ego...)
  • This field is for validation purposes and should be left unchanged.