Tempsure Skin Tightening

Tempsure; At A Glance

  • Best Results2- 4 sessions
  • Treatment RecoveryNil
  • Procedure Time40 min
  • Skin SpecialistDermal Therapist
  • Duration of Results1-3 + years
  • AnaestheticNil, Painless
  • Back to WorkImmediately
  • Cost$$

Tempsure Skin Tightening

Tempsure is a non-surgical modality of improving skin tone & laxity. This treatment has no downtime and is well tolerated by all patients. It uses RF or radiofrequency based energy to contract and stimulate dermal collagen. This can provide skin tightening around the eyes, cheeks, jowls & neck. This form of skin tightening uses low heat over a longer period, compared to intense heating from HIFU (Microfocused Ultrasound/ High Intensity Focused Ultrasound).

FactsFacts on Tempsure RF Skin Tightening

  • Skin tone describes the elastic recoil of skin
  • Tone decreases with age, whilst skin sagging & laxity increases with age
  • Factors such as sun exposure, smoking & weight loss can worsen skin tone
  • Skin tone can be improved with surgical & non-surgical methods
  • Non-surgical methods include radiofrequency, HIFU & thread lifting
  • Radiofrequency devices include Tempsure & Thermage
  • RF skin tightening is suited in cases of mild to moderate laxity

What skin conditions can Tempsure address?

This treatment is best for mild to moderate skin sagging & laxity invoicing the jowls, cheeks, eyes & neck area. This treatment is also an effective way to prevent skin laxity.

Tempsure is best for mild to moderate laxity in patients with NO sun damage.

How long does it take to notice results?

Immediately after the procedure a phenomenon known as ‘immediate collagen contraction’ occurs. This looks awesome as it seems that skin tightening is achieved within a few minutes of the procedure as heat contracts collagen. Over the next few days your elasticity will return to normal, however over the next 6-12 weeks more collagen will form. Most patients will notice a difference during this time, however a series of treatments will be required for optimal outcomes.

How long is the procedure?

Each Tempsure treatment takes between 50 – 80 minutes to perform. Treatments are comfortable, with no downtime.

The procedure is super comfortable, taking 30 to 60 minutes to complete.

Is RF skin tightening painful?

No, not in this setting. I used to have Thermage which is another form of RF skin tightening- popular in Asia. I found that most patients did not tolerate this device and hence in many cases I could not use it to the full potential. Tempsure on the other hand is very comfortable, this means my therapist & nurses can actually finish the treatments. The before and after results, together with the comfort levels was an easy decision to swap RF systems.

Davin’s Take on Tempsure

Having had & performed skin tightening over the years, here is my take on the whole topic.

Firstly, you need to be a good candidate for skin tightening to work. How so? Your dermis should have a good thick layer of collagen, never mind if it is lax, I will go into this a little later. Sun damage or elastosis under the microscope shows broken collagen, much akin to broken springs, it is not going to contract as well as if the springs are intact.

Ideal candidates are vetted out by our nurses & dermatologists. This gives the highest probability of success.

How does ethnicity come into play? Dermatologists are well aware of ethnic variation of skin physiology. Darker skin patients are much less likely to develop skin cancers, on the flip side they are more likely to have hyperpigmentation & keloid scarring. Ethnic patients also have a thicker dermal layer that has very little in the way of broken collagen. Sagging is thus a value of lax or stretched collagen (AKA Springs). Hence with heating of the dermis, collagen in ethnics are more likely to contract, providing skin tightening. This is why skin tightening devices are popular in Asian & Middle Eastern countries- because they have a higher (not absolute) chance of working!

Our approach to skin tightening is to address all layers, including the dermis, fat layer & deeper SMAS layers.

So, if one has significant sun damage, is skin tightening an absolute lost cause? No, once again speaking generally, the chances of ‘no downtime’ skin tightening will not live up to your expectations. There are however more predictable ways to tighten skin. The gold standard is a deep plane facelift, followed by a short scar or mini-S-facelift. Nothing comes close in the context of severe laxity. Threads? Yes, barbed threads or conical thread lifting (eg. Silhouette or Mint) can be effective. I am tending to use them less frequently as the results rarely last longer than a year. The newer monofilament MINT (Minimally Invasive Non-Surgical Threads) are better, especially when combined with heating devices.

Ablative lasers or deep chemical peels can improve the quality of collagen via a process called neocollagenesis. These treatments ablate & coagulates old elastosis, tightening up coils & forming new ‘springs.’ The downside? Downtime. For predictable results, expect a downtime of at least 8-10 days, depending on the depth of ablation. CO2 lasers have a longer recovery, however they provide more collagen tightening than erbium.

We often combine Tempsure with low downtime procedures like Tixel for better results.

Another treatment that I utilize for skin laxity is off label collagen stimulating fillers, or hyper diluted Radiesse (Calcium Hydroxyl Apatite). This bespoke dermal filler can be mixed with saline & lidocaine, concentration depending on the amount of atrophy, wrinkles, sun damage & location. For patients who have a significant amount of sun damage, I find this method of dermal filling more predictable than with energy devices (Tempsure, Ultherapy, Ulthera, Thermage, Pelleve).

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