Smoother, younger-looking skin doesn’t have to be subjected to invasive surgery for beautiful results. With ThermiSmooth, patients can expect natural-looking, rejuvenated skin through the use of radio frequency waves to penetrate deep into the skin to reverse the signs of aging. The heat from the handpiece will heat tissue to stimulate the production of collagen and other vital components to produce long-lasting results. Dr. Leonard Gray, a San Francisco, CA board-certified cosmetic surgeon, offers ThermiSmooth at his office for a short, simple procedure with almost immediate results.
Patients can expect ThermiSmooth:
- To be a 30-minute in-office procedure
- To be essentially painless with the sensation comparable to a warm massage
- To be effective for lifting droopy eyebrows and diminishing lines around the eyes and mouth
- To require no downtime
- To produce instant, visible results
- To complement a variety of other in-office procedures
- To produce the best results with a series of 4 treatments, which are normally done every 1 – 2 weeks
"Fantastic - Highly Recommend - So happy!!! My experience with Dr. Gray and staff has been phenomenal - very personable, professional, informative and attentive. I felt like I was in good hands throughout the entire process, and went into my surgery with utmost confidence. It has been approximately two weeks since my procedure, and I am absolutely thrilled with my results. Thank you, Dr. Gray!"- A. / RealSelf / Jan 02, 2018
"50 Shades of Grey - I went in for a breast revision to avoid any future complications. I switched from my 12 year old Saline implants to Silicone. I was very happy with my Saline implants plus there were no visible scars. In 2005 my Doctor was the first to innovative the nipple incision (not to be confused by the periareolar incision). Very pleased with my previous results without any hesitation I knew that Dr...."- X. / RealSelf / Dec 27, 2017
"BEST PLASTIC SURGEON EVER!!!!!! - There are no words that suffice to commend Dr. Gray's unbelievable work - truly impeccable and a work of artistry. I am incredibly hard to please, as I am a complete perfectionist myself. My family always teases me, as I never seem content with anything. I interviewed countless plastic surgeons and spent weeks on end researching doctors on the internet. Even though I am a mother of three..."- D. / RealSelf / Dec 25, 2017
"I would give 10stars if i could! Had my first set of implants about 10years ago that were utterly amazing by him. Always had comments how natural they were and best job anyone had seen. Fast forward, time to change and upgrade the girls. They are even more amazing than the first set. Went for the gummy bears high profile. So beautiful in everyway! Dr Gray knows what he is doing. I told him exactly what i Wanted in regards to size and cleavage and he made it happen!! I wanted to wait to write this review till i was a few months out and everything settled. I am not a big yelper but MUST give credit where it is due. My experience this go round was nothing short of stellar. I had breast aug and labiaplasty and everything looks amazing! I felt and feel so comfortable and confident in this man. Also i must share that I had a major medical emergency thru my healing process that had nothing to do with dr. Gray or plastic surgery. Was a female issue, that left me in critical condition. Had I not followed Dr Grays advise at a follow up and got directly to my ob/gyn it would have ended badly. I ended up in emergency surgery wich solved the issue that would have ended in devastation had i not gone to emergency on Dr Gs advice. I also wold like to mention, when i got the news i had to have emergency surgery i called Karen at the front desk, cuz no one knew of my private situation but Dr Grays office. I am BEYOND GREATFUL for the professionalism of this woman. I felt like i had a best friend who was a 911 operator on the phone. I was hysterical and she calmed me down as i drove myself to emergency surgery. It was one of the scariest experiences of my life, no family knew as i kept it private and she was like a guardian angel. Also Cherrise is like a breath of fresh air! Helped me with so much during this process and has such good energy and i know her word is GOLD! Anything i asked advice on was always on the money! Also Lalanya who i rmbr from 10 years ago is frgn awesome! i called panicking once about questions from healing and she soothed everything and everything she said was true.Shes been in the scene for a long time and KNOWS HER STUFF! STAFF IS BEYOND EXCEPTIONAL! energy is amazing. Dr Gray is IT in my eyes. He also is A MAGICIAN with ingectables! no one ever has been so thuro with botox or cheek fillers. and my lips! ARE GORGOUS! had disastorous results with lips and botox and this man lays you down like he is doing surgery for your ingectables and gets it perfect! He is a master at his craft. i will not go anywhere else for ingectables. Breasts and labiaplasty are GORGOUS! Thank you Dr Gray. YOU ALL ARE A GOD SEND! p.s. i feel Dr G is more than authentic. He spent so much time with me after my emergency surgery and i truly feel he cares. He was looking me in the eye and we had a long discussion, his concern was more than genuine .Also he overcame my fear with injectables so patient and he KNEW exactly what i wanted and delivered, this place will always hold a special place in my heart! THANK YOU! THIS MAN IS ON POINT!!!!"- K.B. / Yelp / Dec 11, 2017
"I would give 10stars if i could! Had my first set of implants about 10years ago that were utterly amazing by him. Always had comments how natural they were and best job anyone had seen. Fast..."- K.B. / Yahoo / Dec 11, 2017
Skin Tightening & Technology
Nonsurgical skin tightening can be performed with ultrasound, radiofrequency or intense pulsed light (IPL) treatment systems. Each method uses specific energies to target and heat the deep skin layers and to make the body turn on its natural wound healing process. This stimulates the natural production of collagen and in the absence of a real injury, will improve the health of the skin, including increasing the elasticity and thickness of the skin.
- Radiofrequency skin tightening treatments (also known as Thermage, Accent, and Pelleve) take about 45 – 90 minutes and can be used on the face and body. Depending on the needs of the patient, 1 or several treatments may be needed to achieve their best results.
- Intense pulsed light (IPL) treatments (also known as Titan, Sciton’s St., and Velashape) requires protective eyewear and usually shows the best results with 1 – 4 treatment sessions.
- Ultrasound skin tightening treatments use safe ultrasound energy to affect 3 different layers of the skin at once. Treatments are usually 30 – 90 minutes and most patients will need multiple sessions to get their best results.
During/After the Procedure
The doctor or technician will begin the nonsurgical skin tightening treatments by cleaning the skin in the area to be treated to eliminate dirt, oils, makeup, and other products. While the doctor may administer local anesthesia or pain medication at their discretion, most patients find the mild pain and discomfort during treatment to be tolerable. Patients may spend 30 – 90 minutes being treated, depending on the technology being used and the size of the area being treated. After a very short recovery and observation period, the patient is able to leave and resume their day with no restrictions to their diet or activity level. The doctor will give the patient careful aftercare instructions and discuss scheduling any more treatments. Patients should not expect to see results immediately since the effects of the increased collagen production may take 2 – 6 months to become visible.
Plan Your Procedure
- Procedure Recovery Location
Skin Tightening FAQs
Young skin is like a new rubber band: it stretches as needed and bounces back when needed. Over time, the skin becomes less elastic and starts to become loose and saggy. Higher skin elasticity means the skin is healthier, thicker, and more flexible. Low elasticity skin causes drooping and hanging skin folds.
What is Collagen?
Collagen is a protein found naturally in the skin tissue to improve the strength and elasticity of the skin. The body naturally slows collagen production with age, which contributes to lines, wrinkles, and sagging skin. Nonsurgical skin tightening treatments improve the elasticity of the skin for thicker, healthier skin.
We take several steps to ensure our patient’s safety during all of their treatments, including the proper use of technology that is approved by the Food and Drug Administration (FDA) for skin tightening. During the treatment, the technician or doctor will monitor your vitals, such as pulse and blood pressure, that let us know if the procedure is causing any unusual effects. During their initial consultation, it is important that patients tell their doctor about their full medical history, especially any current medications and supplements.
We give our patients careful aftercare instructions to help them recovery fast and properly. Patients should drink plenty of water for at least a day after their treatment and if possible, avoid heavy exercise. Patients may notice redness, swelling, or numbness after their treatment, but this is temporary and shouldn’t last more than 1 week. Nonsurgical skin tightening does not provide instant results; patients will have to be patient and wait for the increased collagen production to slowly, but naturally improve their skin up 6 months after the treatment session.