When is Thermage likely to be helpful for the beginning of jowls?

I am 58 and have begun to see a slight drop in my cheeks and the beginning of jowls. I was thinking about thermage. Would this help? I am in good health, normal weight, non-smoker.

Thermage works quite well for some patients and for certain problems, but has limitations.  Since Thermage works by tightening existing collagen a little and stimulating new collagen production over 3-6 months, it works best on those who already have a good thick dermis (lots of collagen) and who have a lot of cells (fibroblasts) that make collagen.

As we get older, we have less collagen to tighten and fewer cells to make collagen. After the age of 50ish, Thermage can help prevent more sagging and might tighten a little, but generally you will be disappointed if you expect the jowl to disappear. Also after the age of 50ish, volume replacement becomes key and the combination of subtle tightening plus volume replacement can give a very nice result, in some patients even getting close to that of a surgical facelift if jowls are still early stage. 

See other readers Thermage and Ultherapy QQuestions/Answers. 

For more information about volume enhancers, read our guide on fillers

Hope this helps, Dr. I

Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skincare advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!