Thermage treatments procedures are usually completed by a MD supervised esthetician or laser technician. Even when systems utilized for laser skin tightening do vary in strategy, each of them expect to produce very close improvement. Many treatments are often performed with periodic procedures and results will be witnessed step by step over a couple of months. Considering any enhancement is normally slow, it is strongly suggested that an individual shoots "before" pictures of the treatment area ahead of the Thermage skin tightening procedure, and every four week period thereafter with a overall results picture shot a couple of weeks following your last treatment. That record will help present to your patient their particular enhancements.