For skin tightening for african american skin, which is safer Thermage or Refirme or …..?

What skin tightening is best for brown, african american skin -- thermage or refirme, or something else?

Thank you for asking this. It’s confusing for consumers! Any technology that involves laser/light/optical energy is almost always going to be riskier for darker skin types. So the Refirme is NOT a good choice for you, in my opinion, because it combines both light and sound (radiofrequency) energy. The others are sound wave based.


A better/safer choice would be a tightening device with pure radiofrequency or ultrasound energy like the Thermage, Exilis, and Ultherapy. If it were me, for the face, I’d pick either the Exilis or Thermage. Ultherapy gives similar results but is significantly more painful.


All of these devices (and lasers) are somewhat “operator dependent.” In other words, the results depend on the skill and experience of the person doing the treatment, another reason to make sure you pick a good center with a board certified dermatologist or plastic surgeon.


Hope this helps,  Dr. I


See Dr. Irwin’s recommendations for Excellent Cosmetic/Aesthetic Dermatologists in the U.S.


Read Dr. Irwin’s Guide to Thermage.

Dr. Brandith Irwin, MD

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