There is absolutely no data from the Thermage company, or anyone else,  that says this tip gives better results.  In my opinion, it's a marketing gimick.  The vibration does allow slightly higher levels of energy but there is no data that says that increase in energy gives a better result.  Also, as you noted, higher levels of energy in past increased complications in the form of divits caused presumably by destruction of fat cells.   My position is that I'd like some proof of better results and of safety, if the energy is higher!    Dr. I