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Thermage CPT treatment should be administered by a qualified and trained medical doctor in a medical office setting. The patient should remove any contact lenses before the procedure, and the eyelid area should be removed of makeup and gently cleansed. A few drops of numbing solution (proparacaine or tetracaine) is instilled in an eye before placing a sterile plastic eye shield to guard against ocular injury.
A grid is applied via ink transfer to the targeted area. This grid helps guide the practitioner on pulse placement. Before starting treatment, the area to be treated should be applied with a thick layer of Coupling Fluid. The Handpiece with a Thermage 0.25cm² Eye Tip 450 REP attached to it is used to place pulses of radiofrequency energy to the targeted skin in a nonoverlapping, non-staggered method. Throughout the application, the skin is periodically sprayed with cooling bursts to avoid overheating the surface of the skin. After the procedure is done, the grid tattoo can be removed with isopropyl alcohol, and the treated area should also be cleansed.