Thermage® FLX delivers monopolar radiofrequency (RF) to the dermal layer through a dedicated tip. When heat is applied, loose collagen contracts immediately, resulting in initial tightening (1). Then, new collagen regenerates and gradually fills in. During the procedure, a cooling system protects the epidermis, concentrating energy in the dermis. This combination of contraction and regeneration improves fine lines, pores, and loss of elasticity.