Thermage is a skin-tightening treatment that focuses radiofrequency energy on deeper collagen-containing layers of skin, thereby stimulating collagen production. The dermis is composed of collagen proteins arranged in parallel layers of fiber, called “fibrils,” which form the matrix that holds the skin together. With aging, the fibril layers loosen and become less organized, resulting in sagging skin. Thermage heats the dermis layer with radiofrequency energy without damaging the epidermis. When the dermal tissue is heated, the collagen fibrils become disrupted, then contract and thicken, thereby tightening the layer below the surface. As the layers heal, they are reshaped and new collagen forms, tightening the skin even more. Tighter, firmer skin results with better elasticity and a more youthful overall appearance. “Thermage” is a great option for middle-aged women who are beginning to show signs of neck, brow, and eyelid sagging and/or drooping jowls and cheek folds.