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Newport Beach, CA 92660

Thermiaesthetics Orange County Thermi Aesthetics™ RF Skin Tightening

The following information has been prepared to familiarize you with facts about the surgical treatments known as the ThermiAesthetics® family of radiofrequency procedures. These include the minimally invasive, ThermiTight® skin tightening procedure, ThermiRase® nerve ablation for glabellar frown lines, the ThermiSmooth® non invasive surface treatments for wrinkles or cellulite and fat deposits.

ThermiDry® percutaneous ablation of axillary sweat glands for patients with excessive sweating, and ThermiVa® non invasive vaginal and labial tightening procedures for patients wishing a more youthful vagina or labia.You are requested to read this information thoroughly and to discuss any questions which might arise with your surgeon before you give your consent to proceed with this procedure. You are also requested to keep this form as a reference in the postoperative period.

Orange County Plastic Surgery was the first medical practice in Orange County to acquire this unique new technology in 2012, the hottest new radiofrequency procedure now available. Dr. Juris Bunkis has developed an extensive experience with this technology and has been asked by the manufacturer, ThermiAesthetics®, to be on the company’s Clinical Advisory Board and to serve as a teacher to other physicians wishing to use this technology. Other physicians come to the Orange County Surgery Center in Newport Beach for teaching session with Dr. Bunkis.

The ThermiVa® and ThermiSmooth® treatments are office procedures and no special preoperative preparation will be necessary. A series of 4-6 ThermiSmooth® or ThermiVa® procedures are recommended for optimal results. The ThermiRase®, ThermiTight® or ThermiDry® procedures may be performed in an operating room or in the office, with or without an anesthesiologist, depending on the areas treated. You may visit your surgeon as many times as you wish, to have all of your questions answered. At your final preoperative visit (which takes up to an hour), your final questions will be answered and you will confirm that you understand the procedure to be performed, that this material has been explained to you, that you have read and understand these information sheets, and that you accept the risks by signing the informed consent forms. You will be given prescriptions for surgical soap that will be used before surgery, as well as for pain pills and antibiotics, along with instructions for their use.

The ThermiSmooth® and ThermiVa® procedures are non-invasive, are performed in an office setting and do not require any special preparation. A radio frequency device will be applied to the skin, labia or vaginal mucosa (no incisions are necessary) to bring the tissues to the target temperature. No special aftercare is required with these procedures.

The ThermiRase®, ThermiTight® and ThermiDry® procedures will be performed in an outpatient facility or office under sedation or light general anesthesia, supplemented by local anesthetics, or under straight local anesthesia. With the ThermiRase®, ThermiTight® and ThermiDry® procedures, stab wounds will be made to provide an entry point for the radio frequency probes to be inserted. An internal temperature sensor and an external temperature sensor will be monitored as the probe delivers the desired amount of energy to the targeted tissues.

No special postoperative care will be necessary for patients following the ThermiSmooth® or ThermiVa® procedures – just avoid any activity which causes discomfort. 

For ThermiRase®, ThermiTight® and ThermiDry® patients, adequate pain medication will also be prescribed. All patients who receive intravenous sedatives or a general anesthetic must have a ride to and from the surgery center and arrange for an adult to spend the rest of the day with the patient. This can be a family member and does not have to be a trained nurse. Following ThermiTight®, especially if liposuction was performed, the surgical area will be wrapped with a compressive dressing for the first two to five days. Applying ice to the dressings may decrease swelling and discomfort. Generally, no dressings are required following a ThermiRase® or ThermiDry® procedure. High bulk foods are highly encouraged and laxatives may be necessary to prevent straining associated with constipation. Patients will be encouraged to walk as much as possible after surgery as this will reduce the possibility of pneumonia or of clots forming in your calf veins.

Social activity should be limited while the patient is uncomfortable. A concomitant liposuction or other more invasive procedure will increase the level of postoperative discomfort. A good general rule of thumb is that patients should avoid any physical activity that causes discomfort.

There is no set time table for resuming strenuous activity – just avoid activities that cause discomfort. Basically, most patients find that they can return to normal activity as the discomfort of the operation fades away.

Serious complications after any aesthetic procedure are relatively uncommon. The stab wounds usually heal without a noticeable scar. Very rarely a blister may form and this may heal with a permanent scar. 

Infections are extremely rare. Even more rarely, as is possible with any surgical procedure, phlebitis may develop in leg veins and even more rarely, blood clots could travel to the lungs, potentially leading to a fatal complication. 

Perfect symmetry does not exist before or after any aesthetic procedure. Minor asymmetries will persist after any ThermiAesthetics® procedure. The most significant dissatisfaction comes from patients who expect more than the technology can deliver! It should be stressed that this is an ideal procedure in situation where minor correction is desired. Borderline candidates will have to decide if they would prefer some improvement with a minor procedure without surgical scars, or a more significant improvement following a longer, more invasive procedure and longer surgical scars.

Insurance does not pay for purely cosmetic procedures and will not pay for most ThermiAesthetics® procedures. Very rarely, insurance companies may reimburse patients for treatment of axillary hyperhydrosis with either Botox® or ThermiDry®, or glabellar muscle treatments with ThermiRase® for patients with migraine headaches - but we have to emphasize, RARELY! We will provide you with the diagnosis and procedure codes and you will be responsible for contacting your insurance carrier and submitting the bill directly to them.

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