Thermage FLX in San Francisco, CA

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What is Thermage FLX?

Thermage is a no-downtime nonsurgical radiofrequency tightening service and our top choice for lifting the upper and lower eyelid skin. The magic and science of Thermage lies in its ability to stimulate collagen production deep within the skin. As we age, collagen, the essential protein responsible for skin's elasticity starts to diminish, leading to sagging and wrinkles, and can be especially pronounced around our eyes.?


In our clinics we most frequently use Thermage to treat the upper and lower eyelids.


Thermage is ideal for those interested in lifting and smoothing the delicate area around the eyes. It is safe for all skin types.Thermage treatments are usually performed 1x/every 6-12 months. Depending on the laxity severity and age, we offer a full suite of non-invasive tightening devices (Emface, Fotona, Sofwave, Ultherapy) that can be used in the interval. Your provider will discuss next steps for your customized treatment plan.


Explore our online Pre/Post Care Library to learn how to maximize your results as well as protecting your skin after treatment.


Most patients describe the heating sensation of Thermage as ‘spicy’ but tolerable. Due to the fact eye shields are required during treatment, we offer several options to increase comfort including antianxiety medication and/or Pronox (laughing gas). Thermage requires little to no downtime so you can quickly return to your daily routine.

I am so thankful to the BACD team and doctors. My 2024 update is that after miraculous treatment from Dr. Austin, with the latest medicine and technology my skin conditions are essentially 100% cured. (They will need a lifetime of maintenance on my end.) My keloid scars are completely healed and that is really unheard of at other medical practices. I also had rosacea which has also 100% improved. Part of the treatment is learning how to care for and maintain your skin, health, and body.Special thanks to Nurse Ari, who is gentle and kind and makes patients feel cared for and their needs seen. When I have worked with Nurse Ari, my treatments have been relatively painless and my healing time was extremely quick. Ari remembers her patients and always gives them the best care.Special special thanks to the BACD office team who always greets me by name when I arrive and always helps with the questions and needs.

I.K. Yelp

Dr. Shannon Watkins is excellent! This was my first visit to BACD, and I could not have been happier with her care. She addressed all my concerns efficiently, yet I never felt rushed. I trust her intelligence, experience and recommendations. Pinching myself that I found her. The office staff is really wonderful as well. Great follow through and very kind. Highly recommend!

N. Google

I have been going to BACD for almost 10 years. I have always seen Nurse Mary Krempa. Many moons ago performed Mira Dry on me, which helped reduce my underarm sweating and gave me my confidence back. She has been doing neuromodulators on me for years now and always does such a beautiful and natural job. Mary is literally an earth angel and one of my fav people. I love coming in to see her regularly. She is gorgeous and so is the work she does!

T.T. Google

My first time to the clinic and I was very impressed with the attention I received and the detailed information given to me on my regime going forward

V.O. Google

Had a great experience with Dr. Austin! She clarified where my product regimen was lacking, prescribed a medication to mitigate this dry patch that always shows up in the same spot on my chin. She did 2 different fillers for different parts of my face. It’s looks great! I have an appointment in 3 months for some laser & a chemical peel. Can’t wait! Thank you so much Dr. Austin.

S.S. Google


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Your body responds to the pinpoint thermal injuries placed in the deep tissue by creating new collagen fibers. Collagen fiber formation takes place over several months, with full results expected 6 months after treatment. Ideally, patients will schedule a follow-up appointment at this 6-month mark, during which we will take a second set of photos and assess results with you. As with all of our in-office treatments, a strong topical skincare regimen will help to maximize the treatment results by further stimulating collagen fiber formation.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.