ThermiSmooth Treatment: How It Targets Skin Laxity and Elasticity Loss Around the Jawline

Dr. Anne Therese Stubbs
9/8/2026

ThermiSmooth treatment applies non-invasive radiofrequency energy to the skin, delivering controlled heat that stimulates new collagen production and smooths fine lines. Along the jawline, that same mechanism addresses the loss of firmness and definition that comes from thinning collagen support, rather than from fat volume or muscle laxity.

This distinguishes ThermiSmooth from a treatment like Kybella, which targets fat rather than the dermal collagen loss that causes jawline skin laxity.

What Is ThermiSmooth?

ThermiSmooth is a non-surgical skin-tightening treatment offered at Anne Therese as a gentle alternative to more invasive options. It’s applied at the skin’s surface rather than through an incision or injection. This treatment works by delivering controlled heat into the skin’s dermis to stimulate new collagen and reduce fine lines.

ThermiSmooth is designed to improve skin tone and firmness rather than reshape facial structure. It does not add volume, dissolve fat, or lift sagging tissue that requires surgical correction.

How ThermiSmooth Targets Skin Laxity and Elasticity Loss

Skin laxity is the loosening of skin that occurs when the collagen and elastin fibers supporting it break down or thin over time. Elasticity loss is the reduced ability of skin to spring back into place after stretching or movement, and both trace back to the same shift in the dermis.

ThermiSmooth heats that layer to prompt the skin’s own collagen-building response, addressing both changes together.

Two factors explain that connection, covered below.

Why the Jawline Loses Firmness and Definition

With age, thinning dermal collagen and elastin along the jaw produce a softened, less distinct edge rather than the drooping or heaviness caused by excess fat or lost muscle tone. That distinction separates jawline skin laxity, a collagen-related change, from submental fat, which Kybella addresses.

ThermiSmooth is built for the collagen-support mechanism specifically, not for volume or muscle-related changes.

How Radiofrequency Heat Reaches the Dermis

The ThermiSmooth applicator transfers radiofrequency energy through the skin’s surface into the deeper tissue layer where collagen is produced.

That heat prompts the fibroblasts in the dermis, the cells responsible for building collagen, to increase production. New collagen forms gradually in response, adding structure to the skin and smoothing its surface over time. The energy is delivered externally rather than through an injection or incision, so the treatment does not disrupt the skin’s surface.

ThermiSmooth vs. Other Skin-Tightening Technologies

ThermiSmooth is one of several skin-tightening technologies, distinguished by how and where it delivers energy rather than by which one produces a stronger result.

Thermage and ThermiTight also use radiofrequency energy, while Ulthera uses focused ultrasound. Each reaches the skin through a different method and depth, summarized in the table below.

Technology Energy type How it’s applied
ThermiSmooth Radiofrequency Applied at the skin’s surface
Thermage Radiofrequency Applied at the skin’s surface
ThermiTight Radiofrequency Delivered beneath the skin through a thin probe
Ulthera Focused ultrasound Applied at the skin’s surface, targets deeper tissue layers

The practical difference for a patient is depth of delivery and whether the method is fully non-invasive or involves a probe placed under the skin. ThermiTight’s subdermal delivery places it in a different treatment category than the fully external approach used by ThermiSmooth, Thermage, and Ulthera.

Choosing among them depends on the specific concern and how much correction it calls for, which is a conversation for a consultation rather than a general comparison.

What a ThermiSmooth Session Involves

Each ThermiSmooth session follows the same general sequence: a consultation, skin preparation, RF applicator movement across the treatment area, and post-treatment guidance, with no surgical recovery period. The steps below outline that sequence in more detail.

  1. The care team assesses the jawline and confirms candidacy. This step identifies whether the concern is collagen-related skin laxity rather than volume loss or muscle laxity, which sets expectations for what ThermiSmooth can and cannot address.
  2. The skin is cleansed and prepared for treatment. This keeps the RF energy focused on the treatment area rather than being blocked by product residue.
  3. The provider guides the ThermiSmooth applicator across the jawline, delivering radiofrequency energy to the dermis. The number of passes and the length of the session are set by the provider based on the individual’s skin and treatment plan rather than a fixed protocol.
  4. The provider monitors the skin’s response during treatment and adjusts as needed, keeping the session aligned with the individual’s tolerance and treatment goals.
  5. The patient receives guidance on aftercare and follow-up. Since ThermiSmooth is non-invasive, it does not require a surgical recovery period, though the care team confirms any individual aftercare steps.

Treatment plans are delivered over a series of sessions customized to the individual rather than a single standardized course, consistent with how the practice approaches care generally.

Confirm session cadence and preparation steps directly with the care team.

When Results Appear After ThermiSmooth

New collagen has to form in the dermis before results become visible, so ThermiSmooth’s effects appear gradually rather than immediately at the skin’s surface. The treatment stimulates collagen production, and that process continues after the session ends. Improvement in skin firmness builds over the following weeks and sessions rather than showing up all at once.

Collagen remodeling is progressive, so results are also cumulative across a treatment series rather than tied to a single session. Ask the care team for an individualized timeline based on the treatment plan.

Is ThermiSmooth Right for Jawline Laxity?

ThermiSmooth is a reasonable option for jawline laxity when the concern is a loss of skin firmness and definition. It is not a fit when the cause is excess fat or significant sagging that would need surgical correction. The treatment works by stimulating collagen, so it is suited to subtle improvements in skin tone and firmness, not to volumizing or lifting effects.

A consultation with the care team is the way to confirm whether jawline laxity is collagen-related and whether an individualized treatment plan built around ThermiSmooth fits the goal.

Combining ThermiSmooth With Other Treatments

Other treatments already offered at the practice can be combined with ThermiSmooth when the goals address different concerns:

  • Botox and Dysport relax the muscle movement that causes expression lines, which is a separate mechanism from the collagen stimulation ThermiSmooth provides.
  • Sculptra restores lost facial volume through its own collagen-stimulating injectable process, while Kybella reduces submental fat.

Each of these treatments addresses a distinct structural cause, whether skin laxity, muscle movement, volume loss, or fat. Combining them is a matter of matching the right treatment to each concern, and the care team builds an individualized treatment plan when more than one concern is present.

Anne Therese Aesthetic Medicine’s approach to treatment planning is grounded in physician-level oversight. The practice was founded by Dr. Anne Therese Stubbs, MD, a board-certified physician who serves on the faculty boards of ZO Skin Health and Galderma. She also trains physicians nationally in facial injection technique.

Frequently Asked Questions About ThermiSmooth

What does a ThermiSmooth session feel like?

ThermiSmooth delivers radiofrequency energy that most patients experience as a gentle, warming sensation on the skin, consistent with the treatment’s design as non-invasive and gentle. The care team can discuss comfort measures or numbing options ahead of a session.

Is ThermiSmooth safe for all skin types?

No, not universally. Candidacy for ThermiSmooth depends on the underlying cause of skin laxity and an individual’s skin history, not on skin type alone. The care team evaluates candidacy during a consultation before recommending ThermiSmooth as part of an individualized treatment plan.

Are ThermiSmooth results permanent, or is maintenance needed?

No, not permanent. New collagen builds gradually, and skin continues to age naturally after treatment, so ThermiSmooth results call for periodic maintenance sessions rather than a one-time correction. The care team can advise whether a specific maintenance schedule fits an individual’s plan once initial results are assessed.

Can ThermiSmooth treat areas beyond the jawline?

Yes. ThermiSmooth is used to smooth fine lines and tighten skin in multiple areas beyond the jawline, such as the face and neck. A consultation with the care team determines which treatment areas fit an individual’s concerns.

Start With a ThermiSmooth Consultation for the Jawline

Jawline skin laxity traces back to thinning collagen and elastin in the dermis. ThermiSmooth addresses that mechanism directly by delivering radiofrequency heat that prompts the skin’s own collagen-building response. Matching that process to an individual’s specific concern matters more than assuming one protocol fits every jawline, so a consultation with the care team comes before any treatment plan.

Schedule a consultation with Anne Therese Aesthetic Medicine to find out whether ThermiSmooth fits your jawline concerns.