Medical Spa MD is a community of physicians practicing nonsurgical cosmetic medicine. Join Us


2nd MD - Boarded US physicians work from anywhere.
Medical Justice
Relentlessly protecting physicians from frivolous lawsuits.

More control of your income, career, and lifestyle as a physician.
Newest Comments

Medical Spa MD is a world-wide physician community for clinicians in skin clinics, laser centers and medspas with thousands of physician members around the world. By using this site you agree to our terms of service and fine print.

« Search Medical Spa MD | Main | Radiance Medspas & the 23 franchise class action lawsuit. »

Thermage & Medspa MD: What's getting tightened now?

 Thermage actually likes Medical Spa MD enough to buy me a coffee.

Clint Carnell, The VP of Domestic Sales for Thermage and I met for coffee to talk about a number of things, some of which relate to this site. I'd had lunch with Clint previously. Evidently my Thermage rep Chris likes me more than my Botox rep. At least Chris sent me a big hunk of plastic.

thermage_reel.gifHere's a list of parts of the discussion I feel I can divulge.

  • Thermage had some internal discussions about whether it was a good idea to approach or contribute to what amounts to a public forum (this blog) but they've decided to give it a trial run at least. I got the feeling that Clint and others at Thermage were willing to try something that's new in the marketplace on their feeling that I would be fair to them. (With the hammering that Dermacare and the other medical spa franchises
    have taken on this site I give Thermage a great deal of credit for that.) I think that out there. If you're a company and don't have a blog you're doing yourself a disservice. There's no better form of constant contact with your target market as long as you're not just publishing the same old lame press releases. There's a paradigm shift in marketing that changes the traditional way that's taught in schools and I think more highly of Thermage that they're willing to engage in it. It speaks highly of the brains running the company.
Chris Anderson has some feeling on business blogs; "the natural voice of the boss is fundamentally incompatible with the voice of the blogger, at least as regards their own company affairs.". But wait, there's still hope. Chris goes on to say "The best business blogs come from the employees, not the bosses. They have more time, and are less prone to marketing gobbledygook and gnomic platitudes. And those kind of blogs are on the rise, not the decline."

  • Clint told me that a large number of Thermage's reps now read Medspa MD. I thought there was something going on when the Does Thermage Work Poll received 200 positive votes without any negative votes after it had been neck and neck for weeks. Surprise. Good work guys, but now the Cutera reps (they're here too) will probably start dropping that positive percentage. I'm going to have to block ISP's from tallying more than one vote. Perhaps I'll post a Thermage vs. Titan poll and let them battle it out.

  • Thermage has been trying to track down the producers of the refurbished Thermage tips for a while. I gathered that the refurbished tip guys know this since they're changing PO boxes every couple of weeks. Thermage is going to post to this site their position that the study on reactivating or refurbishing Thermage tips is bogus and that the physician who is credited with authoring the paper doesn't exist. I'll be posting Thermages position on this as soon as they send it to me.

  • Thermage is sitting on a number of new thermage tips until they're sure that all their efficacy problems are behind them. I can see that they don't want a repeat of Thermage's previous problems that caused a backlash among physicians. If they can crack the cellulite conundrum they'll be set.

  • I queried Clint about Thermage and the competition from Cutera's Titan and/or Palomar's fractional IR treatment heads. He was reticent to say anything bad about competitors but it was obvious to me that Thermage really thinks that they've got this modality nailed down. I didn't detect any sweating which is good. The companies that focus on what the competition's doing inevitably wind up fighting the wrong battles. I expect to get hard and fast specifics from Thermage and compare the technology providers side by side. Perhaps a Palomar or Cutera rep will pass this up the food chain and we can get some info from them as well. Different strokes for different folks.

  • Clint's smart and I liked him tremendously. Now that Thermage is a public company they face challenges that they didn't when they were private. If Clint is representative of Thermage's leadership I'm impressed.

Reader Comments (9)

I'll be interested to see what Thermage says. I've been less than happy with the result I'm seeing on the Titan. Cutera's been no help either. I agree with other on this sit the on time you'll see a Cutera rep is when they're selling you something.
04.29 | Unregistered CommenterSacDoc
Bottom dwelling lawyers. I love the one that filed suit and the says "If you purchased stock during this time you could be a lead plaintiff".
04.29 | Unregistered CommenterFLDO
I don't have anything against Thermage since I haven't seen any head-to-head with Titan, but from patients that have had both, I hear Thermage is much more painful and the results are about the same as Titan. That is if you can actually find a consistent description of the protocol to do a Titan procedure. There has been a lot of emails and an entire Webinar dedicated to how people do it the 'right way'. Strangely, no two of them have the same 'right way' and others that have tried different protocols veto all the others being presented. Overall, very few people are thrilled with Titan or Thermage from my conversations.

What I can tell you is that, as we were developing our busienss plan, we were presented with 'objective' data (and it's all objective in the marekting game, isn't it) that supported Titan head and shouders over Thermage. In fact, Thermage was presented a s nothing short of a demonic torture method with no redeeming value compared to Titan. I'm sure the Medical Board of Directors at Corporate looked at the data carefully and decided that the logical answer for technology was the biggest kickback.

Man, I am getting a little too cynical for my liking lately...
04.29 | Unregistered CommenterDermaDoc
Lets put it this way. I have the Titan and now I have Thermage. I hope thermage works better than Titan. Thermage now has multipass standardized protocols which are much less painful. I will be starting to use it in early May. I will let you know what I think.

I called about 30 different clinics that offer thermage. Out of those 30 only 2 were somewhat negative about it. They all said the same thing, you must make sure to understand patient expectations. Patient selection is very important. If you have someone who needs a faceliift then have them get a facelift.
04.30 | Unregistered CommenterLH
Skin Tightening with coherent-light is making a comeback. Cynosure's Affirm uses 1320nm, New Star-CoolTouch has the CoolBreeze 1320nm, and Sciton has the 1319nm ThermaCool. Get real and come back to reality. Go back to laser physics for real tightening.
05.3 | Unregistered CommenterDr. K

In reality, it does not have to be laser physics we need to look at. It is basically any form of energy that you can penetrate through the dermis without damaging it and to cause thermal damage to the deeper dermis. Thus causing a repair cascade.

As far as can be shown so far, the energy can be laser energy or other forms of light energy as well as electrical energy in the form of radiowaves either monopolar or bipolar. The jury is still out as far as which one is the most beneficial.

We are still in the trial and error stage for tightening of the skin. My assumption is that a combination is going to be the best. We still know so little about this. look at how LED therapy is advancing at this time.
05.6 | Unregistered CommenterLH

I am a singer and thermage seems to have damaged my voice. Is it permanent?

08.31 | Unregistered Commenterrusty

PostPost a New Comment

Enter your information below to add a new comment.
Author Email (optional):
Author URL (optional):
Some HTML allowed: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <code> <em> <i> <strike> <strong>

Join Medical Spa MD

Medical Spa MD

A community of dermatologists, plastic surgeons, laser clinics, & skin clinics world wide.

Medical Spa MD is a world-wide community of physicians and clinicians practicing cosmetic medicine. Please read our Terms of Service, Advertising Terms and Privacy Policy.

Copyright © 2011. All rights reserved.