Thermage vs Thermage CPT – what’s the difference?

I read from another dermatologist that Thermage CPT is the most effective. I am wondering then if there are different types of Thermage technology or machines and which we should be asking for to get the best results. Which Thermage do you recommend? Thanks.

Again…….. and I hate to sound like a broken record since most of the info on the web that I’ve seen on this is not correct…..the marketing and anecdotes are prevailing sadly.

The very old Thermage devices, like 10 years ago or more (does anyone still have these?) were painful –   they did not have the comfort (sapphire-cooled) tips.  

The Thermage devices that most of us use, and have used for at least 5 years or more all have the sapphire cooled tips.  These are also  the better engineered tips in that we can use more pulses per treatment and vary the energy (depending on patient tolerance).   Better results and comfortable.

Then ….about 1-2 years ago – Thermage remarketed itself as Thermage CPT (comfort pulse technology).  The sapphire cooling is the same or very similar but they added a vibrating function and claimed that it made it more comfortable.   We tested this “new” feature and our opinion was that it made no difference in comfort (over the sapphire tip) and was somewhat annoying (we tested it on me also).

 I also think that that vibration will cause wrist and hand problems (carpel tunnel?) over time for the staff that are using it.   Since our staff is wonderful, I don’t want to purchase anything that might harm them.

Bottom line:   Just make sure the Thermage device has the sapphire cooled tip. 

Hope this helps, Dr. I



Dr. Brandith Irwin, MD

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