Treatment is started after calibrating the ThermaCool RF generator and Treatment Tip. The Tip is applied to the skin along the grid lines placed previously, assuring thorough, even application of the RF energy. The patient feels a sensation of cold, then heat, then cold again. It's especially important that the patient remain still during the cooling cycles to avoid thermal injury to the skin. Each application of the Treatment Tip lasts about 2 seconds, then the Tip is moved to the next square on the grid. A typical treatment takes less than an hour. In majority of cases, an immediate tightening of the skin can be observed. After the procedure, the grid marks are cleaned from the face.

During the Thermage procedure Usually One half of the face is treated and the difference between the treated half and untreated half is demonstrated to the person undergoing treatment ( Look at the difference between the treated right half and untreated left half )

Following treatment, patients may notice mild swelling and redness, and only rarely is even mild postoperative discomfort present. They can wash their face and apply make up and go back to the office or attend a party .