Our skin can lose its volume and elasticity over time. After age 30, we lose a teaspoon of collagen every year. Collagen is a protein in our skin that keeps it firm and supple. As collagen diminishes, the youthful appearance of our skin can begin to fade. Fortunately, there are non-surgical treatments that can help reverse the signs of aging.

Dr. Jeanine Downie is a nationally prominent dermatologist who utilizes innovative technology that can deliver a youthful appearance without the lengthy downtime often required for surgery. Dr. Downie and her team proudly offer non-surgical treatments including ThermiRF/ThermiTight and ThermiSmooth at image Dermatology ® P.C. in Montclair.

ThermiRF/ThermiTight leads as the first FDA-cleared device to deliver thermal energy that can tighten lax skin. Clinical studies have shown the treatment to be safe and effective. The radiofrequency device uses radio waves in the form of heat to target specific tissues and tighten skin.

ThermiTight can be ideal for tightening the jawline, neck, arms, knees, upper back, and abdomen. ThermiTight is also effective at treating cellulite on the thighs and abdomen because it restructures collagen and breaks through the fibrous band that cause dimples. Before the procedure, we will administer local anesthetic to numb the treatment area.

Actual Patient Results

ThermiTight is a minimally invasive procedure, which involves inserting a tiny treatment probe (the size of a pen point) under the skin to heat specific tissue gently. Then, radiofrequency energy is applied to the treatment area to shrink targeted tissues. The procedure is painless and requires little to no downtime.

Dr. Downie will attest to the excellent results ThermiTight provides patients including firmer, youthful-looking skin for several years. She teaches other physicians the ThermiTight technique as well as delivers lectures about the new technology. A consultation with Dr. Downie is recommended for anyone considering ThermiTight.


Dr. Downie and her team offer another product from the Thermi family –ThermiSmooth. The procedure involves using a specially designed regulated radiofrequency handpiece that is temperature controlled. The handpiece delivers radiofrequency waves to the dermis while being guided along the surface of the skin, making it a non-invasive treatment option. ThermiSmooth stimulates collagen rebuilding with gentle heat. The treatment is compared to a warm massage.

ThermiSmooth is used to target areas around the forehead, eyes, mouth, cheeks, and neck. There is no downtime, allowing patients to return to work or resume other activities after treatment. A series of at least six treatments and one to two maintenance treatment sessions per year are recommended to achieve desired results. Men and women who want to explore ThermiSmooth should schedule a consultation with Dr. Downie. She can tailor a treatment plan to meet their needs.

Dr. Downie busts cellulite in Aspen at cosmetic Boot Camp conference 2016.

Dr. Downie busts cellulite in Aspen at cosmetic Boot Camp conference 2016.
ThermiTight can be used to reduce fat and here Dr. Downie is using it to cut down on cellulite. From the bum to the back of the thighs and even the stomach; it is a versatile technology that helps to bring the body together and rejuvenate the body. Once the numbing process is completed, the procedure can be done. Watch Dr. Downie perform the procedure on a client to get a clearer vision of how ThermiTight is used.

“So this is ThermiTight that I’m going to demonstrate. And so what we’re doing here for this procedure is we’re trying to decrease cellulite. It works very well. I do it for cellulite on the buttocks and cellulite on the backs of the thighs. I also use ThermiTight for a pretty flat stomach to just go around in there and tighten everything up. You can do a little hand liposuction on the tummy also. I do it for the flabby part behind the arm. I do it, of course, for the chin indication. That was the original indication was for the chin.

They do bruise, they swell, they’re indurated, and then they love you. So their cellulite typically goes down at least one grade. So she has about grade 3 cellulite, I would say. I know every woman thinks their cellulite is the worst in the world. But it’s actually not. Molly is a power-lifter.

So now I’ll just show you what we do. Sometimes you can hear the fiber bands pop and sometimes you cannot. Basically, I numbed her behind stage before so you could see the procedure. The numbing takes longer than the procedure does for this. The patient has to be comfortable, so basically when I’m doing ThermiTight for cellulite, I keep it in the sweet spot. Right now the actual temperature on the bottom gauge where it says ThermiTight is at 34, so I’m going to turn it on for a second. We warm the numbing fluids before we get started, so that the patient will heat up faster. And the skin temperature is the top gauge and that can’t go above 42 degrees or it has to be cooled down with some cool gauze.

Molly, can you feel anything? OK, so that’s the sound of success – they can’t feel anything and the fibrous bands are starting to pop. So you’re kind of in the subdermal plane right here. We used 180 ccs of lidocaine blended with epi with bicarb on each leg and right now we’re getting in the sweet spot, yeah, so we want to stay around low 60s. I don’t typically go above 70 for this procedure. It works well. I’ve been doing it for a little over a year and my patients like it. And New Jersey patients, as I said yesterday in my lectures, are hard to please. So please ask me questions. I just have to focus on Molly, but ask me questions. So I heard a pop there. Did you hear that pop? So that’s good, so that’s the sound of success.

“Can you do this on the anterior thigh?”

“You can do it on the anterior thigh, Ava, thank you for the question. And it works very well there, too. And you get a high degree of satisfaction. The fact that I can use this for the jaw and I can get rid of the jowling and I can use it for cellulite. I like things that are multi-purpose in my practice. More bang for my buck. My patients really seem to like this a lot, and the fact that I can use it on the belly, I didn’t realize that. I bought it for the arms and the jaw originally, and now I’m using it more for cellulite. So I’m actually very, very happy that I purchased this device. But I like to get multi-use devices when I can. Other questions?”

“So the time involved in this procedure is typically somewhere between two to three hours. I’ve been doing it for awhile, so I numbed her a lot quicker this morning. When you’re doing, I typically do, I’ll just stop for a second. I typically do cellulite on the thighs and I do from the lower buttock and I do most of the whole lateral thigh bilaterally and I charge about $5,000 for that, whereas if I’m doing ThermiTight on the jaw I charge about $4,000 for that. So it kind of depends on where I’m doing. Bellies are about $3,500 to $4,000 depending on the height of the person. I mean I had a 6-foot model. I’m not going to charge her the same for her belly that I’m charging somebody who is 5’2” – that was my original patient, that type of thing. Other questions?”

“Is there anybody who is not a candidate for this, Dr. Downie? Any contraindications?”

“Somebody who is not a candidate is somebody that is morbidly obese with really saggy, droopy kind of like 5-plus cellulite. Somebody that exercises and powerlifts like she does but has some cellulite that she wants to do something with is a better candidate for this quite frankly.”

“If they have a pacemaker or any implantable device?”

“If you have a metal hip, I will not do you. I know there is another person in my town that actually will but I won’t. Basically, most people are candidates for this procedure that have grades 1, 2, 3 or even up to 4 cellulite – it depends on the sagging and the turgor of their skin. Those that are tight like Molly is tend to do better. So she’s an excellent candidate for this procedure.

“With Cellfina, it typically I would say 75 percent of the treatment time is the tumescent anesthetic delivery and the other 25 percent of the time is the actual releasing of the bands. And again it depends on how many there are.”

“For our patients? The photography also takes awhile, but I have people in the office that do that. I tell patients to plan on being there for two hours, because their going to come in, sign consents, the photography and the numbing part, but that’s about what it takes I would say on average. One of the important aspects of this, I think, is bringing awareness to market that there really is something that can be done. So I think the fact that we have something that can be done reproducibly and consistently and bring a new patient demographic in, and that’s what I see the value in it.”

“Liposuction? You do body work. If you have a large Zeltiq population, the Cellfina is a great sort of adjunctive. Again. I’ve had the treatment. I know exactly what it feels like. I’m 55 years old, I don’t exercise like I should, but I’m not completely sedentary either. I know what my next thing is going to be – it’s CoolSculpting for banana roll, and probably get some Exilis, maybe a little Cellutone. And keep going. I think it helps to have experience as patients as well, and being able to talk to something. I know exactly what UltraShape feels like, I know what Cellfina feels like, I know what Ultherapy feels like, I know what Fraxel feels like.”

“So banana roll is that little thing like that like two striations and it looks almost like a little roll right there, and those are some anatomic landmarks that you don’t want to release or you’re going to create a pouch and some laxity.”

“With this device also, when you’re doing closer to the lower buttock area, you can actually decrease that little butt roll that people call a banana roll with this procedure. That’s not what it’s indicated for at all. I just found this out while I was doing cellulite. And my patients are commenting that their banana rolls look better, so now I’m actually focusing on that more.”


What is the difference between ThermiTight and ThermiSmooth?

Both treatments utilize radiofrequency waves to treat lax skin and deliver a youthful appearance. ThermiTight involves a pen point sized probe that goes under the skin and directly heats the underlying structures to tighten areas such as the neck and lower face. ThermiSmooth involves a hand piece used on the surface of the skin to heat the underlying tissues and stimulate collagen production and skin tightening.

What is the cost of ThermiTight and ThermiSmooth?

The cost of ThermiTight varies; but ThermiSmooth typically costs about $350 per area for six treatment sessions. The size of the treatment area and individual needs of the patient will determine the overall cost. Therefore, a consultation is highly recommended.

How long does each treatment last?

It depends on the size of the treatment area; however, each procedure can typically be completed in an hour or less.

To learn more about how ThermiTight or ThermiSmooth can help you attain the look you desire, schedule a consultation with Dr. Downie by calling (973) 509-6900.

Dr. Jeanine Downie is an experienced and popular dermatologist in Montclair. She possesses extensive experience and training in all aspects of dermatology, including cosmetic dermatology and laser surgery. Dr. Downie provides modern and cutting-edge dermatology treatments to everyone in your family in a professional, competent and compassionate manner while ensuring that your individual and unique needs are met. Having received rigorous academic training, she completed her residency in Dermatology at the Mount Sinai Medical Center in New York City and also served as Chief Resident. She continues to upgrade her skills set and share her knowledge through professional affiliations and lecturing assignments on behalf of several renowned medical societies such as The Skin Cancer Foundation and The American Academy of Dermatology, among others. She also frequently interacts with the public through popular television shows such as Good Morning America, The Today Show, and The Dr. Oz Show, to name a few.