Does this sound like a good Thermage plan in London?

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Hello Dr Irwin, I am a 30 year old male who doesn’t smoke and has fairly loose skin for his age. Am I to young for Thermage? I went to see a Dr in London who recommended Thermage at a heat setting of 4-4.5, under local anesthesia and using 600 pulses. With your experience, is this safe and inline with the guidelines you undertake in your office?
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Hmm …… I’m a little puzzled as to why he/she is recommending local anesthesia.  All I can think is that the office might not have the newer Thermage equipment with the sapphire cooled tips.  With those, no extra anesthesia is usually needed.  You might ask them about this.   We get better results, and there is data to support this, with 900 pulses for a full face.  And yes, what he/she is proposing is within the guidelines!  Dr. I