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Thermage for the neck and décolletage: How many shots are needed, and how much does it cost?

Thermage for neck lifting may require approximately 400-500 shots to achieve noticeable results. However, most patients also present with sagging and wrinkled décolletage, which can be treated simultaneously, potentially requiring around 900 shots for both areas. Prices vary depending on the clinic and its promotions, but a standard price for treatment performed by an experienced physician should be between 50,000-70,000 THB.


This information is for informational purposes only and is not intended to recommend any specific innovation/technology. Please schedule an appointment with a doctor for a detailed assessment and advice.

Gloved hands adjusting Thermage neck device with detachable purple head and gold aperture.
Thermage neck treatment: non-surgical skin-tightening device applied under the jaw

The difference between facial and neck skin.

Skin structure

  • The skin on the neck is 2-3 times thinner than the skin on the face.
  • It has fewer sebaceous glands, making it dry out easily.
  • It contains fewer collagen and elastin fibers.
  • Shows signs of aging faster than facial skin.

กล้ามเนื้อ

  • The neck muscles have more movement.
  • The weight is constantly being supported by the head.
  • There is a pulling force from frequently looking down.

Thermage Tips for Neck Skin

  • The curved neck area requires a launcher head that can be adjusted to follow the curve.
  • It requires a different depth of field for shooting than for the face.
  • Special attention must be paid to the blood vessels and nerves in the neck.
  • The intensity needs to be adjusted for thinner skin.
  • Requires special power distribution.
  • The firing frequency must be adjusted to suit the skin structure.

Comparison table of facial and neck skin.

attributefacial skinneck skin
thicknessThickerThinner
sebaceous glandsThere are many.There are few.
See MorelessTGrads Over Others
การฟื้นฟูFasterSlower

Reasons why you need to pay special attention to the skin on your neck.

  1. It deteriorates faster than the skin's surface.
  2. More difficult to recover.
  3. It shows the age more clearly.
  4. It receives less care than the face.

How many shots of Thermage are needed?

Neck area

  • Typically, around 400-500 shots are used.
  • Divided into:
    • Front of neck: 200-250 shots
    • Side of neck: 100-125 shots/side
  • It covers from below the chin to the neck.

The area in front of the chest.

  • Typically, around 400-450 shots are used.
  • Coverage area:
    • breasts
    • Wrinkles in the cleavage area
    • Skin around the collarbone

Is 900 shots more worthwhile?

  • If we divide it into:
    • 450 Shots Neck
    • 450 shots of the chest area.
  • That's a good amount for treating both areas.

Things to know before undergoing Thermage neck treatment.

  1. A skin assessment should be done first, as some people may require more shots.
  2. Consider the degree of sagging in each area.
  3. The shot proportions may be adjusted as needed.
  4. You should take before and after photos to see the results.

The doctor recommends paying special attention to the skin on your neck, even after having Thermage lifting treatment. In the meantime, you should continue to care for it using other methods, such as applying sunscreen and a moisturizing cream before bed, to maximize the treatment results.

Other frequently asked questions