New York Thermage Treatment

As we age, the deeper structural proteins that give our skin firmness and resilience — collagen and elastin — gradually break down faster than the body can replace them. The result is the familiar pattern of facial aging: softening of the jawline, deepening of the nasolabial folds, loosening of the skin around the eyes and neck, and a general loss of the youthful contour that once defined the face. Thermage is a non-invasive radiofrequency (RF) skin tightening treatment that addresses these concerns without surgery, injections, or downtime. Long considered the gold standard in non-surgical RF skin tightening, Thermage works by delivering controlled radiofrequency energy deep into the skin to tighten existing collagen fibers immediately while simultaneously stimulating new collagen production over the months that follow.

Dr. Maurice Khosh offers Thermage treatments at his Park Avenue practice in New York City. Dual board-certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology–Head and Neck Surgery, Dr. Khosh is a Fellow of the American College of Surgeons (FACS) and a Clinical Assistant Professor at Columbia University. He earned his medical degree from Albert Einstein College of Medicine, where he was inducted into the Alpha Omega Alpha (AOA) Medical Honor Society, followed by residency at Columbia University and a facial plastic surgery fellowship at the University of Washington. A founding member of the New York Head and Neck Institute and recipient of Columbia University Medical Center’s Maxwell Abramson Resident Teaching Award, Dr. Khosh has spent three decades performing both surgical facelifts and the full range of non-surgical skin-tightening modalities. That dual perspective is what allows him to evaluate Thermage candidacy honestly — recognizing when radiofrequency tightening is the right answer for a patient’s anatomy, and when a more comprehensive surgical approach would deliver the result they are actually seeking. He is a perennial Castle Connolly Top Doctor, a Best Doctors in America honoree, and a recipient of the Patients’ Choice Award.

How Thermage Works

Thermage uses a handheld device to deliver radiofrequency energy through the surface of the skin and into the deeper, collagen-rich layers of the dermis. The device’s built-in cooling system protects the surface of the skin while RF energy heats the underlying tissue to a precisely calibrated temperature. This thermal stimulation produces two distinct effects at once: existing collagen fibers immediately contract and tighten, while the controlled heating signals the body to begin producing fresh collagen proteins to replace what age has depleted. Over the following weeks and months, the new collagen continues to develop, gradually firming and refining the treated area. Many patients notice visible tightening immediately after the treatment, with continued improvement for up to six months as new collagen matures. Results typically last one to two years depending on skin type, lifestyle, and natural aging factors.

“Thermage works best for patients with mild to moderate skin laxity who want meaningful tightening without surgery. The honest conversation in consultation is about whether radiofrequency alone can deliver what the patient is seeking — or whether the volume loss, deeper sagging, or jowl descent they are concerned about would respond better to a different approach. Matching the technology to the actual anatomy is what separates a good result from a disappointing one.” — Dr. Maurice Khosh

Areas Thermage Can Treat

One of the practical advantages of Thermage is its versatility. The same RF technology can be applied to a wide range of treatment areas, including:

• Forehead and Brow Area: Softens horizontal forehead lines and lifts the brow position
• Around the Eyes: Tightens upper and lower eyelid skin to reduce hooding and crepey texture
• Cheeks and Nasolabial Folds: Firms the midface and softens the smile lines that develop with age
• Chin and Jawline: Refines lower-face contour and reduces early jowl development
• Under the Chin and Neck: Tightens loose neck skin and improves overall lower-face definition
• Body Areas: Including the abdomen, legs, and lower buttocks for non-facial skin laxity

What to Expect During Treatment

A Thermage session at Dr. Khosh’s Park Avenue office typically takes 30 to 60 minutes depending on the area being treated. Patients describe the sensation as a brief warmth that moves across the skin as the device delivers each pulse of energy. Because the treatment is non-invasive — there are no injections, no incisions, and no needles — patients can return to their normal activities immediately afterward. The only common side effect is mild redness in the treated area, which typically resolves within hours or a day or two. Most patients see visible improvement after a single treatment, while others benefit from a follow-up session for more pronounced results. During consultation, Dr. Khosh evaluates each patient’s skin condition, underlying anatomy, and aesthetic goals to determine the appropriate treatment plan.

Why Patients Choose Dr. Khosh for Thermage

• Surgical Perspective: Three decades performing facelifts and neck lifts inform when Thermage is the right answer and when surgery is
• Anatomical Precision: RF treatment planned by a dual board-certified facial plastic surgeon, not delegated to non-physician staff
• Honest Candidacy Evaluation: Realistic conversation about what non-surgical tightening can and cannot deliver based on each patient’s anatomy
• Comprehensive Modality Mix: Multiple non-surgical tightening platforms available so the right technology can be matched to each patient
• Park Avenue Convenience: Private Upper East Side practice serving patients from across Manhattan and the tri-state area

Schedule Your Consultation in Manhattan

The right approach to non-surgical skin tightening depends on careful evaluation of skin laxity, underlying volume, and the limits of what radiofrequency technology can deliver. Dr. Khosh offers thorough consultations to determine whether Thermage — alone or in combination with complementary treatments — will produce your desired result. To schedule a consultation at Dr. Khosh’s Park Avenue office in New York City, call (212) 339-9988 or contact us online to request an appointment.