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Woffles T. L. Wu, Achieving Optimal Results With Thermage Using Mesoanesthesia and Revised Treatment Parameters, Aesthetic Surgery Journal, Volume 27, Issue 1, January 2007, Pages 93–99, https://doi.org/10.1016/j.asj.2006.12.006
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Abstract
The author describes how he improves comfort in patients receiving Thermage with a combination of topical lidocaine 5% cream and mesoanesthesia, a technique involving multiple tiny intradermal injections of anesthetic solution. Although it relieves pain, mesoanesthesia allows adequate subcutaneous and deep sensation for patients to recognize overly-high treatment levels, thus diminishing the chance of skin burns or fat necrosis. Optimal parameters, based on the author's experience, for treating the face, neck, eyelids and abdomen are reviewed.