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ThermiRF city, state

middle aged woman with dark hairWe are very excited to introduce a new and exciting non-surgical technology for tightening and smoothing to the face and neck. The ThermiRF system is really three fantastic technologies in one: 1) a neck tightening and jawline tightening device; 2) a fat reduction treatment that is different than liposuction; and 3) a wrinkle smoothing and nerve ablation tool. ThermiRF truly does it all, using a minimally invasive, catheter-based, radiofrequency technology performed awake in the office. Radiofrequency (RF) energy is delivered through the device at precise locations with real-time feedback. This is used to target subdermal connective tissue and muscle, fat deposits, and wrinkle-causing nerve branches. ThermiRF treatments are both safer and less painful than similar surgical options, with significantly less downtime – and less cost – for the patient.


ThermiTight logo
ThermiTight patient before the procedure and thirty minutes afterThermiTight does exactly what you would expect – it tightens the tissues of the lower face, jowls, and neck without surgery. This procedure is selected for fat reduction under the chin, contouring of the jawline and neck, and tightening of the facial skin. Applying RF energy below the skin surface has the unique advantage reduce volume (for example, under the chin) while simultaneously tightening lose skin.

This is a great tool for patients who may have considered a facelift but are either not ready or need a quicker fix. In some cases, ThermiTight can also be used with other surgical (for example, eyelid lift) or non-surgical facial rejuvenation procedures (for example, soft tissue fillers) for a more global, full-face rejuvenation.

The procedure takes about an hour and is performed by Dr. Ransom in the office, awake, using only local anesthesia.

male patient before ThermiTight procedureBefore
male patient 7 weeks after ThermiTight procedureAfter 7 weeks
female patient before ThermiTight procedureBefore
female patient 1 year after ThermiTight procedureAfter 1 year
female patient before ThermiTight procedureBefore
female patient six months after ThermiTight procedureAfter 6 months
female patient before ThermiTight procedureBefore
female patient six months after ThermiTight procedureAfter 6 months

ThermiSmooth Face

ThermiSmooth face logo
Using the same technology as ThermiTight, ThermiSmooth Face is a completely non-invasive, external application of RF energy to the skin surface in the face and neck. This promotes collagen growth and cross-linking, which improves the overall texture and appearance of the skin around the eyes, mouth, and brow areas. The ThermiSmooth Face hand piece can also be used in the jawline and neck region, alone or as an adjunct to other treatments. For maximum results, a series of treatments (3 to 6, depending on the area and patient) is required. ThermiSmooth Face is quick and virtually painless – like a hot stone massage – with no downtime at all.

eyes of female patient before ThermiSmooth procedure Before
eyes of female patient two weeks after ThermiSmooth procedureAfter 2 Weeks
lip area of female patient before ThermiSmooth procedure Before
lip area of female patient three weeks after ThermiSmooth procedureAfter 3 Weeks

ThermiRF Treatment and Recovery

Treatments are performed in the office by Dr. Ransom and his staff. For ThermiTight, the areas for which treatment is desired are first injected with a local anesthetic solution. We use a dilute solution placed widely throughout the area in order to make this process nearly painless. The anesthetic lasts long enough to ensure that you are very comfortable during the procedure. A very small incision is then made using a needle, and the RF delivery catheter is then inserted. The incisions are typically placed just below the earlobes and under the chin in the midline. However, the location for cannula insertion can be virtually anywhere and will not leave a visible scar. The catheter device is the source of the RF energy that heats the treated tissues. This heat is used to tighten the overlying skin, reduce fat volume, and damage the wrinkle-causing nerves, depending on the treatment modality. Precise temperature thresholds are determined before the procedure based on the areas to be treated and the patient’s skin and soft tissue characteristics. The skin and subcutaneous tissue temperatures are closely monitored during the entire procedure using a special military-grade heat-sensing camera. Once the desired temperature in all areas, the treatment is concluded and a soft dressing is applied.

Patients can expect the in-office procedure to take about 30 to 60 minutes. The timeframe can vary, depending on the treatment modality, how many areas are treated and the size of those areas.

For ThermiSmooth Face, the ThermiRF technology is used as a direct skin tightening device, which is not inserted under the skin. Using the device in this manner is non-invasive and requires no downtime. Treatments take about 20 minutes. For ThermiRase, the RF is delivered specifically to targeted nerve branches. This requires mapping the nerve course and typically takes about an hour total.

Following the procedure, most patients go on to enjoy daily activities as they normally would. Exercise and other vigorous activities are not prohibited, but patients may take the day off from work while the treatment site recovers. The results will reveal themselves gradually over a course of 6 to 12 months as collagen production increases and the body flushes out unwanted fat.

There are minimal risks when using the ThermiRF device. Most patients will see mild to moderate swelling that lasts 3 to 7 days. Minor skin burns due to the heat emitted from the device have been reported but are extremely rare. Bruising may also occur, typically around the cannula insertion site, but this is limited. Some users have reported temporary numbness following treatment.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

Our Patient Reviews

San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

5 / 5.0

Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.