Thermage, thermacool, or thermalift is the most innovative, non-surgical, non-invasive, no “down time” procedure for treatment of loose or lax skin of the face and body areas which need firming and contouring.

Nurse Rada at Dr. Robert DeStefano’s office in Calabasas, CA. has been using Thermage to treat skin laxity of the face, neck and body since May of 2003. In fact the official website for Thermage posted some of Rada’s client “Before & After” photos.  Mention “ to receive a 10% discount on any Thermage treatment performed at Dr. De Stefano’s office in Calabasas, CA.- Apr. 10 2012 to Aug. 30 2012.

Thermage is FDA approved.

Thermage can be used for treatment on any area of the face, neck, body, and even the eyelids using the most current Thermage upgraded system, Comfort Pulse Technology (CPT).

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CPT provides an improved, more uniform heating action that causes the structures in the skin and underlying tissue to immediately tighten while stimulating collagen growth and offers a more comfortable treatment of the face and neck. The thin skin of the eyelids is treated with a specialized tip with a shallow heating profile.

Thermage has also been found to provide a modest improvement to acne scars.

Body shaping Thermage treatments are beneficial for firming the skin, treating cellulite and for deep contouring and circumferential reduction. The body treatment hand piece with large 16 cm deep heating treatment tips allows for a faster, more comfortable and more effective treatment.  Body shaping treatments are used for contouring and smoothing of the abdomen, “love handles,” thighs,


Thermage Treatment

buttocks and upper arms and for treating cellulite.

How Does Thermage Work?

Thermage skin tightening procedures:

Much of the advanced technology is in the disposable tip, which must be programmed for the impedance (electrical resistance) of each individual. Four corner sensors measure the temperature of the cooled skin surface. The passage of radio frequency energy is automatically blocked if the protective temperature is not correct. This system guards against surface damage and allows the ability to treat with no “down time.”

Each pulse of radio frequency causes a uniform heating of the deep layers (dermis) of the skin. The collagen structure responds to heating with a measurable contraction, then a gradual remodeling of the collagen. The full response, allowing time for new collagen formation, may be seen in as little as two months and may take as long as six months.

Thermage CPT System Offers Improved Patient Comfort

Unlike the painful Thermage treatments of the past, the improved Thermage CPT (Comfort Pulse Technology) System offers a significant improvement in patient comfort.  The unique vibrating hand piece interweaves pulsed radio frequency delivery with cooling bursts mimicking “Transcutaneous Electrical Nerve Stimulation” (TENS) therapy to disrupt the brain’s neural response and improve comfort during treatment.

The redesigned treatment tips deliver enhanced heat distribution and uniformity, which lead to improved volumetric heating.  A greater volume of tissue is heated to target temperatures and the heating is more evenly distributed across the treatment area.

This vibrating CPT hand piece is used for easily tolerated treatment to the face and neck.  This area is now treated without the use of pain medication.  We are also, under certain circumstances, able to use this hand piece on the upper arms for contouring and firming with a 3.0 cm deep heating treatment tip.

Thermage Body Shaping Treatment is designed for the same smoothing and thermage skin tightening which the standard tip provides but, since the heat penetrates approximately 80% deeper, to the subcutaneous fat layer, a body contouring effect is seen. This procedure also provides benefit to patients with mild to moderate cellulite.

By applying deep heat, along with specific superficial cooling, the collagenous connective tissues are restored and local circulation is improved.  This results in smoothing of dimples and improved skin texture.  The Body Shaping Treatment results in circumferential reduction decrease in surface irregularities, improvement of skin texture, firming, lifting and tightening of lax skin and reduction of cellulite.  Positive results have been reported in 2-3 months, with full effect seen in 6 months.

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Thermage for Treating the Eyes

Thermage treatment to the eyelids and surrounding area results in tighter, smoother skin.  Following treatment, the eyes appear more open, wrinkle lines, “crow’s feet and under eye bags are reduced. Smoother eyelid skin makes application of makeup easier.  The eyelid area can be treated alone, or in conjunction with the face and neck.  To protect the eye from absorbing heat, plastic eye shields will be inserted.

Tetracaine ophthalmic drops will be instilled to numb the eye prior to insertion of the eye shield.  A small 0.25 cm treatment tip with a shallow heating profile will be used on the eyelid skin.  The regular 3.0 cm tip will be used on the area above the eyelid, below the eye and on the outer eye corners.  The treatment is associated with very little discomfort and minimal swelling.  If eyes are dry or irritated following treatment, artificial tears can be used.

Thermage has provided consensus guidelines, which assure safer treatment with more consistent results.  Dr. De Stephano’s office has incorporated all of the latest treatment advances for the Thermage procedure.  Current consensus guidelines, which reviewed 5700 Thermage cases, reveal a 93% patient satisfaction rate.  Results have been shown to last 2-4 years.  As with any procedure, individual results may vary.


  1. Non-surgical, non-invasive procedure.
  2. No general anesthesia required.
  3. No “down time” allows return to usual activities without delay.
  4. Gradual improvement in appearance rather than sudden change.
  5. Conservative improvement, which appears natural and not “overstretched”.
  6. Option for additional treatment for further improvement if desired, but generally only one treatment can last for up to two years.
  7. Relatively short treatment time of one to three hours.
  8. Costs are much less than comparative surgical procedures for similar benefit.


  1. Best results are seen with mild to moderate wrinkling and laxity.
  2. Response in more severe wrinkling or laxity is unpredictable and may range from minimal to more than satisfactory.
  3. Discomfort of treatment ranges from mild to severe and may require mild sedative and/or pain medication.

The use of Valium or Vicodin requires a responsible driver.

  • Some individuals will require a second treatment for best results and some will not respond at all.
  • Long term ill effects have not been seen and are not expected, but are unknown.

Possible Side Effects May Include:

  1. Redness may be expected and may last a few hours.
  2. Blistering has been reported but is a rare exception.  Blistering can lead to infection, which can be health or life threatening, and may result in scarring. Choose a professional that has much experience administering Thermage treatments, such as Nurse Rada at Dr. De Stefano’s office in Calabasas, CA. (818) 222-7495       
  3. Swelling is typically minimal and may last 3-4 weeks, with swollen areas feeling tender.  In rare cases, swelling may be moderate, but decreases within a week. Nodular swelling may also occur and resolves within a month.
  4. Transient and focal altered sensation with tingling or numbness have been reported. Resolution is typically within a few weeks.  Nerve damage may occur at the treatment site.  This side effect is unlikely but can occur.
  5. Skin textural changes, “surface irregularities,” such as “small dents,” “rippling,” “ridging,” or “waffle pattern” have been reported.  These may be delayed and become evident one or more months following treatment but usually resolve or can be treated with tissue fillers such as Juvederm and Restylane.
  6. Adverse events have been reported at a rate of .04%.


  • Pregnancy or breastfeeding
  • Pacemaker or internal defibrillator
  • Cochlear implants
  • Implantable ocular lenses (if treating eyelids)


  • Dental braces
  • Dental prostheses (dentures), unless removable
  • Metal parts in the area to be treated (bone screws, plates, wires)
  • Diabetes
  • Autoimmune disease
  • Permanent makeup- we will not treat over permanent makeup, as it often contains iron oxide, which can absorb excessive heat.  If permanent makeup is present in the treatment area, we will treat around it
  • Post Lasik-treatment to eyelids must be delayed several months to allow for proper healing

Thermage Prices:

Full Face and Neck                                                                             $2,200.00

Full Face and Eyelids                                                                          $2,800.00

Face, Neck and Eyelids                                                                       $3,200.00

Forehead and Eyelids                                                                         $2,000.00

How Much Does Thermage Cost for the Body (includes both Body Contouring and Cellulite Treatments):

Small Body Area                                                                 $2,300.00

Average Body Area                                                            $2,800.00

Large Body Area                                                                $3,300.00 – $4000.00

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What is exfoliation and what you need to know about your skin’s natural process.

Have you ever taken a bath and looked at the water in the tub? If so you’ve probably seen the byproduct of you skins natural exfoliation process. Exfoliation means to eradicate dead skin cells. This can be done naturally through a process called desquamation or through an exfoliant.

The immediate benefit to us if we exfoliate our skin on a regular basis is that the texture becomes smooth and soft, the complexion has brightened, and we are less prone to skin conditions such as acne, adult acne, eczema, psoriasis, and rosacea.

Let’s explore the natural meaning of exfoliation referred to as desquamation.

This natural process repeats itself every 28 days and recreates new cells in the epidermis, the outermost layer of the skin. The new cells are actually born in the deepest layer of the epidermis called the stratum germinativum. Once the process starts the cell gravitates to the highest layer of


What is exfoliation?

the epidermis called the stratum corneum. The news cells have a major responsibility which is to push out the older skin cells.

So where do the dead skin cells go?

Check out your furniture, the floor, and your bedspread, many people mistake dead skin cells for dust or dirt.

Desquamation also can be attributed to potential skin problems such as disease and skin conditions. Because it involves  in the upper layers of the skin through the shedding of dead skin cells, the human body utilizes it as a constructive mechanism to naturally replenish the skin with new vibrant cells.

Desquamation is a latin word that actually speaks to scaling fish, hence, the sloughing of dead skin cells from the epidermis on a consistent basis.

What is an exfoliant?

You just need to take a trip to the local mall or drug store and head to the beauty and skin care section and exfoliants will jump out at you. They’re products or procedures designed to eradicate the build-up of dead cells on your skin.

Be sure to check out my “1 Minute Beauty Tip Videos” with different exfoliating tips.

This is one area of skin care that you should really do your homework in advance. Because many exfoliating products make use of chemicals, it could be possible to have a skin reaction or an allergic reaction to them. Always check with your skin care specialist, family physician, or dermatologist before using an exfoliant.

Make the appropriate choice of the correct product to exfoliate your skin is essential to achieving skin that is soft, hydrated, healthy, and great looking.

Need a natural exfoliant? Here is a list of the top 10 natural exfoliants!

  1. Honey
  2. Yougurt
  3. Baking Soda
  4. Ground Fruit Seeds and Nuts
  5. Sugar
  6. Oatmeal
  7. Lemon Juice
  8. Papaya
  9. Ground Coffee
  10. Sea Salt

If you enjoyed this article about what is exfoliate,  here are some others you might like to look at!

Look and Feel Your Best On Any Budget: Copyright 2007,2011 Louisa Maccan Graves
Beauty Recipes and Tips That Really Work” Copyright 2007,2011  Louisa Maccan Graves
Hollywood Beauty Secrets Remedies To the Rescue: Copyright 2007,2011 Louisa Maccan Graves


Topical Ointments and Medications to treat acne scars.

Over-the-counter ointments containing 2 % hydroquinone, which is a bleaching agent can be used for acne scarring. Prescribed ointments could use individual agents, including Retin-A (tretinoin) or mixtures of medications including hydroquinone with tretinoin along with a cortisone cream. These types of treatment methods could be very efficient if utilized correctly.

You have to talk about the potential risks of every medication along with your physician.

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What are dermal fillers?

Dermal fillers are simply a collagen substance created from man made or natural ingredients and is utilized for injection in the dermis for reasons like enhancing soft tissues. Lately, dermal fillers have received substantial utilization in cosmetic attributes to get rid of troubling skin disorders which typically grow with age. These include creases, folds and wrinkles.

Because these factors are widely-used on human skin which can be extremely sensitive as well as reactive to various resources, dermal fillers should always be secure apart from  effective. When reaching a determination to employ dermal fillers, you should look for clarification about safe practices according to high quality and various factors such as the potential negative effects.

In general, they should end up being nonteratogenic (which means they can’t trigger malformations), no cancer causing (indicating they can’t trigger cancer), long lasting as well as inert. The particular category associated with dermal fillers is generally completed according to source, origin, time period of impact as well as content material.

Classes of dermal fillers.

Within the class of origins, dermal fillers could be arranged into synthetic or natural. Naturally present resources can often make the dermal filers in addition to man made ingredients. Hence this particular category can be strictly based on which component or main raw substance is utilized to generate that specific dermal filler.

Supplier classifications could be arranged under autograft, allograft or heterograft. The contentdermal fillers under eyes categories consist of classes such as fat, collagen, hyaluronic acid, silicone, and peptides. The time period of result can be additionally split up into permanent and non-permanent, indicating results by several dermal fillers will last for quite a while, although some continue for a much shorter duration.

The most typical symptoms of skin needing dermal fillers include lines and wrinkles, which are primarily because of growing older; scars and depressions such as acne scars and those as a result of medical procedures as well as injury; dermal atrolopy as a result of causes including morphea; and lip enhancement.You also need to review the dermal filler side effects to see if any indications could apply to you.

Anytime these types of indications can be found, it could be advisable to start discovering the best dermal filler to make use of. A few dermal fillers could be more effective for certain disorders as opposed to others. Thus, there are numerous classes on the market, when it comes to dealing with various disorders of the skin appropriately.

Generally, dermal fillers are crucial cosmetics with regard to skin disorders, particularly a maturing face. Some individuals could be comfortable with displaying symptoms of advanced age, or perhaps they just “age with dignity.” Other people are significantly less comfy and wish to preserve their youth for as long as feasible, which is where dermal fillers could assist.

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What is a punch excision and skin grafting?

Punch excision approaches are usually employed for serious acne scars including “ice pick” scars. The method necessitates the actual physical elimination of the tissue comprising the scar and either the suture or even replacing the residual tissue. There are actually three principal punch procedures employed. These include:

Punch ExcisionPunch Excision

A punch excisions are implemented by a punch biopsy instrument which can fluctuate in width based on the measurements the treatment spot, typically between 1.5 mm and 3.5 mm. Local sedation is used with the area and the instrument is employed to eliminate the scar along with its adjoining edges. The scar at present is extracted and the skin can be sutured together and mends. The scar created from treatment usually fades following the therapy.

Punch Excision using Skin Grafts

Punch excision can even be executed with the addition of a skingraft instead of a suture. The scar is going to be extracted using a punch biopsy tool and instead of suture the incision, the doctor may fill it using a skin graft of the individual’s own epidermis.

Punch Elevation

Punch elevation is utilized primarily on deeper boxcar scars. The idea is to eliminate the scar employing the same excision approach where a biopsy instrument eliminates the scar, but instead of suture or graft the wound, the scar tissue will be raised and reattached. This reduces the depth of the scar and lessens the probability of discoloration coming from various skin becoming grafted as a replacement.

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punch excision.