MilfordMD at Advanced Dermatology Pocono Medical Care                   570-296-4000  



What is Thermage?

The ThermageŽ procedure is the only non-invasive treatment that delivers tighter skin, renewed facial contours and healthier collagen. (Collagen is the building block that provides structure to your skin.) The ThermageŽ procedure is available only in the offices of qualified physicians who specialize in cosmetic procedures. Dr. Buckley is your best information resource for determining how this treatment will most benefit you. The more commonly asked questions about this popular procedure are listed below.

What is the ThermageŽ procedure?

Radiofrequency (RF) technology called Thermacool™. It has been clinically proven to tighten and gently lift skin to smooth out wrinkles and renew facial contours. The incision-free procedure is fast and easy, and requires no downtime from normal activities. Unlike lasers, the procedure can be performed on patients of all skin types. The Thermacool™ device has been cleared by the FDA for the non-invasive treatment of facial wrinkles and lines (rhytids).

Watch the video below to see Dr. Marina Buckley demonstrate how Thermage works at one of our live seminars.

How does it work?

The Thermacool™ system uses a sophisticated treatment tip called Thermatip™, which delivers a controlled amount of RF energy. With each touch to the skin, the thermatip™ device uniformly heats a large volume of collagen in the deeper layers of the skin and its underlying tissue while simultaneously protecting the outer layer of the skin with cooling. This deep uniform heating action causes deep structures in your skin to immediately tighten. Over time, new and remodeled collagen is produced to further tighten skin, resulting in healthier, smoother skin and a more youthful appearance.

Watch the video below to hear patient testimonials

What happens during the procedure?

Initially your face will be cleansed to remove any residual oils. Dr. Buckley will draw various markings on your skin to indicate which areas might need additional tightening. Much like making alterations to an article of clothing, the ThermageŽ treatment is customized to provide the most benefit for each individual patient. A special pad will be placed on your back. This pad completes the "circuit" for the RF energy. You will lie on a comfortable table and a paper transfer will be used to place a "grid" on the areas of your face to be treated. This grid ensures complete and uniform treatment and assists in the customizing of the treatment. Some areas will require more "passes" of the thermatip™ than others to achieve the desired results.

During the treatment you will be asked to provide feedback on the level of heating you feel from the RF pulses. This feedback allows the best selection of RF energy levels to be used and makes certain you remain comfortable throughout the procedure. Once the treatment is completed, the grid is removed.

What does the ThermageŽ procedure feel like?

With each touch of the thermatip™ device, you will experience a brief, deep heating sensation as the RF energy is delivered to your skin and underlying tissue. This deep heating sensation is your indication that your collagen is reaching effective temperatures for tightening. The physician controls the amount of energy delivered to balance procedural comfort with maximum results. The thermatip™ device is cooled before, during, and after heating to protect your skin and make the treatment more comfortable. Prior to treatment, an anesthetic cream may be applied to enhance your comfort. Additionally, your physician may also prescribe relaxants and/or pain medication.

How long does it take?

The ThermageŽ procedure can take anywhere from one to two hours depending on the size of the treatment area. Additional time may be required for skin preparation prior to the procedure.

What will my skin feel like after the procedure?

Immediately following a ThermageŽ procedure, your skin should feel tighter, smoother and more youthful. Overtime, you will notice additional tightening.

How many treatments will I need?

Unlike many laser procedures requiring four or more sessions, a single ThermageŽ treatment has produced results in the majority of patients. Your physician will determine the course of treatment that is right for you.

When will I see results?

Recently published studies conducted by ThermageŽ show that measurable tightening improvements appear gradually over 2 to 6 months after a single treatment session. However, many patients have reported seeing an earlier response.

How long will the effects of the ThermageŽ procedure last?

The ThermageŽ procedure causes immediate tightening of the collagen structure, with additional tightening over time. Unpublished reports by experienced cosmetic physicians indicate that results may last 24 months or longer based on the patient's natural aging process.

Is the ThermageŽ procedure safe?

ThermageŽ has an excellent safety record. With over 70,000 estimated worldwide patient treatments to date the reported incidence of side effects is less than 1%. The most frequently reported incidents are classified as swelling, redness, bumps and blisters on or around the treated area. These side effects have usually disappeared in a few days or weeks. A rare (<0.2%) but longer lasting side effect described as a skin depression has also been reported. Consult with your physician regarding this and any other questions you may have on the safety record of the ThermageŽ procedure.

How long before I can return to my normal activities?

Most people return to their regular activities immediately following the ThermageŽ procedure. Some people experience mild redness (like a sunburn), but it usually disappears quickly. No special care is needed after treatment unless otherwise instructed by your physician.

Can ThermageŽ be used on other areas of the body?

 ThermageŽ is gaining increased public awareness in the treatments's ability to tighten loose body skin - especially loose skin on the tummy area. Used post-pregnancy or pre-liposuction, Thermage has proven to tighten that area that no amount of exercise will touch. an effective treatment for tightening loose areas on the body


Benefits and Advantages?

Most importantly, there is no recovery or patient downtime. Patients may return back to work directly after the procedure. Secondly, selecting ThermageŽ for skin tightening means no cutting, surgical drains, sutures or bruising. Thirdly, ThermageŽ is a less costly, non-invasive method. Lastly, there is no special follow-up regime.

  The Ideal ThermageŽ Candidate

An ideal candidate for this skin tightening technique is a person with minimal loose tissue who is a borderline facelift candidate. Such patients could avoid a facelift if they were treated early on with the ThermageŽ Thermacool™ device with repeat treatments every three to five years.

ThermageŽ can be used alone or in conjunction with other procedures. For instance, sun-damaged skin could be tightened, and then treated with a chemical peel, Fotofacial procedure or de-pigmentation programs to provide even pigmentation. The device can also selectively target areas still loose after a facelift.

Newport Beach Thermage
This individual is a good candidate for periorbital treatment seeking tightening and lifting along the browline


Irvine Thermage
Shown here is a good candidate for softening of the nasolabial fold and contouring of the jawline and neck


Here is an example of a good candidate for reduction of jowl fullness


Here is a good candidate for reduction of submental* laxity and fullness.
*(The areas beneath the chin to mid-neck)


The only way to properly assess your suitability for the ThermageŽ treatment is through a consultation with Dr. Buckley. Skin thickness, degree of laxity (looseness), amount of skin sagging, and overall skin condition and tone are factors used in determining the potential benefits of treatment.

Back to Top


ThermageŽ Patients Before and After

Browlift Effect

nonsurgical facelift
Jawline, Neck and Nasolabial Fold Tightening

Submental (Neck) and Jowl/Jawline Tightening

Thermage for your eyes

Thermage for eyes. The picture on the right is 15 months post treatment

Thermage for your eyes in NY, NJ and PA

Thermage for eyes. The picture on the right is 2 months post treatment

Thermage for residents of PA New York and New Jersey

Thermage for eyes. The picture on the right is 6 months post treatment

Eyes Thermage

Thermage for eyes. The picture on the right is 6 months post treatment

Thermage Eyes

Thermage for eyes. The picture on the right is 6 months post treatment

Photo Source: ThermageŽ

Thermage PLUS Botox Cosmelan De-Pigmentation
Hylaform Fraxel Vbeam Vascular Laser
Cosmoderm Restylane ILP (Foto Facial)
Radiance  ( now Radiesse ) MicroLaserPeel New

Richard E. Buckley, MD • Marina Buckley, MD

Northeastern Pennsylvania (NE PA)

Serving Pennsylvania, New Jersey and New York

Milford Pennsylvania is located where NY, NJ and PA meet, along the Delaware River in the Pocono Mountains. We are only 90 minutes from Manhattan. From New York City and eastern New Jersey consider Route 80 to exit 34BB (Route 15 North towards Sparta), continue on 206 North, cross the Delaware River (on the bridge, not like George W.), then stay right on Route 209 North which, in one minute, brings you into Milford. Stay straight at the light and find our office in two blocks on the right (corner). From East STBG, PA take Route 209 North. From Scranton take Route 84 East and get off at the Milford exit and turn right. Our office will be on your left one block after the Grand Union. From Northern NY take 87 South then 84 West. Get off at the Milford exit in Pennsylvania.

Aesthetic Cosmetic Surgery
Richard E. Buckley, MD

Richard E. Buckley, MD
Marina Buckley, MD

Home| Fees | Directions | Drs
Financing Options

Pocono Medical Care
Advanced Dermatology Surgery Center
303 W. Harford St,
Milford, PA

Users should review the "terms of use" before using the Web site. This web site is for information only. Do not use the information herein to diagnose or treat your cosmetic surgery or medical problems. You should contact your physician  with all medical questions and concerns.

© 2003 by Pocono Medical Care, Inc. and Richard E. Buckley, MD, All rights reserved.

Serving NY, NJ, PA
Pike County
Upper Delaware Valley
Northeast Pennsylvania