ThermiRase Anti-Aging Treatment


With ThermiRase, signs of aging can be treated without surgery or injectables, and we're the only Iowa practice offering it!
Call (319) 247-3800 to learn more!

Many changes occur to the skin as we age, wrinkles and frown lines and are some of the most noticeable signs of facial aging. We can target these changes by focusing on the muscles and nerves that can promote their formation. Many of the options available to reduce the development of frown lines and wrinkles involve injection of medicines like Botox/Dysport/Xeomin into the offending muscles. Relaxation of the muscles helps to reduce the formation of the animation lines and wrinkles. Although effective, the results of Botox/Dysport/Xeomin are short-lived. Patient’s typically require repeat treatments 3-4 times a year.

As we age, in addition to the characteristic changes seen in the skin, there are also characteristic changes which occur in the neck muscles. The changes seen in the appearance of the neck muscles also act as tell-tale signs of aging. With time, the connections of the platysma muscles in the neck can loosen producing what are called platysmal bands. These bands can be treated with Botox which relaxes the muscles but on a temporary basis. The bands are often also addressed in a neck or face lift with a procedure called a platysmaplasty.

See the difference in wrinkles and fine lines, before and after the treatment:

 
 

 

Luckily, a technique has been developed that can address the aging changes seen with years of facial and neck muscular contraction without surgery or repeated injections of Botox/Dysport/Xeomin. It is possible to very specifically locate the individual nerves that supply the muscles that produce the animation lines or platysmal bands. Once identified, a fine radiofrequency (RF) probe can be used to weaken the nerve with radiofrequency energy. The radiofrequency energy will halt activity in the nerve leading to relaxation of the targeted muscle. The procedure is very specific to the individual nerves and their target muscles and is designed to be permanent.

The procedure is called ThermiRase and we are the only practice in Iowa that provides the treatment.

How do we find which nerves to pinpoint?

During your ThermiRase procedure Dr. Andrews and his staff at PCI Plastic Surgery in Cedar Rapids, will very specifically map the nerves to the target muscles. They will also map the nerves to muscles that are not to be treated so they are identified and protected.

Watch Dr. Andrews having his nerve mapped out when he had his treatment:

 

 

ThermiRase Procedure

The treatment is performed in our office with local anesthetia. Patients can drive themselves to our office and drive themselves home if no oral sedatives are used. The patient is placed in a comfortable position on our procedure chair. The nerves are then mapped and marked on the skin, local anesthetic is injected and small access punctures are made. We then pass a small RF probe under the skin. The probe is also used to stimulate the nerves to again pinpoint their location. We then deliver more local anesthetic directly around the nerve. Radiofrequency energy is then used to heat and weaken the nerves. During the RF treatment, the nerve and tissue is heated. Dr. Andrews and his staff use a cold-air chiller device to cool the area during the treatment, increasing the patient’s comfort during the procedure. Periodically, the patient is asked to animate to test the progress of the treatment. We continue treating the nerve until there is no residual motion in the targeted muscle. One gratifying facet of the procedure is that the results are maximal at the end of the procedure, unlike Botox/Dysport/Xeomin where one must wait 3-4 days to determine whether the treatment was effective.

 

What areas can be treated?

Currently, we can treat the frown lines between the eyebrows, the so-called “elevens,” and the platysmal bands in the neck.

Is there downtime?

After the procedure, there typically is not a significant amount of pain. There is actually often numbness in the treated area which is expected to improve with time. Bruising can be seen but is usually minimal. Swelling does occur. We have a protocol to address the swelling which includes: ice, head elevation, anti-inflammatories and arnica montana/bromelain. You can expect to have swelling in the areas treated for about 1-2 weeks.

How do I prepare for the procedure?

It is important that you stop all supplements and medicines that can increase the risk of bleeding including aspirin, Plavix, Xarelto, Eliquis, Coumadin/Warfarin, NSAID’s/anti-inflammatories and fish oil.

How much does the procedure cost?

The procedure costs between $2500-3000 depending on the area treated. We do have various financing options that we would be happy to discuss with you.

How long does the procedure take?

Most procedures take 1-2 hours to perform. The length of the procedure is influenced by a patient’s individual nerve anatomy and the response of the nerves to the RF energy.

How long will a ThermiRase treatment last?

Although results of the treatments can vary based on an individual’s particular anatomy, the treatment is intended to be permanent. If nerve activity is regained, a repeat treatment can be performed.

Why choose ThermiRase over Botox, Dysport, and Xeomin?

Botox, Dysport and Xeomin are highly effective for many patients. However, there are some patients who do not respond to “neurotoxins”- the so-called “non-responders.” ThermiRase is a great option for the neurotoxin non-responders. ThermiRase is also ideal for anyone who wants to avoid the inconvenience and cost associated with repeat Botox/Dysport/Xeomin treatments. ThermiRase is designed to be a permanent solution to frown lines and platysmal bands.

Contact PCI Plastic Surgery to find out more about our ThermiRase procedure today at (319) 247-3800.

June 26th, 2013

Dr. Andrews is an artist. His academic credentials are second to none. You can see that sensibility in every aspect of his practice, and his life. His outcomes are exceptional, and there isn’t a surgeon anywhere that I trust more.
2015-02-10T19:25:22+00:00
Dr. Andrews is an artist. His academic credentials are second to none. You can see that sensibility in every aspect of his practice, and his life. His outcomes are exceptional, and there isn’t a surgeon anywhere that I trust more.

May 27th, 2013

I am beyond happy with my results. I had extra skin hanging from my abdomen after gaining weight from pregnancies. Dr. Andrews was compassionate and understanding about how this affected me and my self esteem.
2015-02-10T19:25:46+00:00
I am beyond happy with my results. I had extra skin hanging from my abdomen after gaining weight from pregnancies. Dr. Andrews was compassionate and understanding about how this affected me and my self esteem.

May 27th, 2013

I can now wear bikinis! I continue to work out and can finally see the results of my hard work. Thank you Dr. Andrews – a California gem in the midwest!
2015-02-10T19:26:11+00:00
I can now wear bikinis! I continue to work out and can finally see the results of my hard work. Thank you Dr. Andrews – a California gem in the midwest!

June 1st, 2013

Dr. Andrews is one of the best plastic surgeons I’ve worked with! His patients are very pleased with their results. I highly recommend him!
2015-02-10T19:26:35+00:00
Dr. Andrews is one of the best plastic surgeons I’ve worked with! His patients are very pleased with their results. I highly recommend him!

Jan 24th, 2013

Dr Andrews was wonderful!! Great Guy… awesome job on my reconstruction!!
2015-02-10T19:26:55+00:00
Dr Andrews was wonderful!! Great Guy… awesome job on my reconstruction!!

Nov 2nd, 2012

I had suffered debilitating Hidradenitis. He gave me the ability to have a normal life again. My scars look amazing and he was able to close with the most beautiful lines! He was such a caring doctor who is so gifted. I hope to follow his practice wherever he may go!
2015-02-10T19:27:28+00:00
I had suffered debilitating Hidradenitis. He gave me the ability to have a normal life again. My scars look amazing and he was able to close with the most beautiful lines! He was such a caring doctor who is so
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Oct 29th, 2012

Dr. Andrews was the absolute best doctor for me - very informative, sensitive, and caring with just the right amount of humor during the appointments.
2015-02-10T19:27:54+00:00
Dr. Andrews was the absolute best doctor for me – very informative, sensitive, and caring with just the right amount of humor during the appointments.

Extraordinary doctor

Before saying that you are an extraordinary doctor, I want to tell you that you are an extraordinary human being. Thanks for showing me so much care and concern.
2015-03-30T12:00:04+00:00
Before saying that you are an extraordinary doctor, I want to tell you that you are an extraordinary human being. Thanks for showing me so much care and concern.

You Rock!!

I wanted to write you a thank you letter because I would never be able to find the words to say how much I appreciate everything you did for me. Thanks to you I can feel normal and not always worry if people will find out about my problem. I can’t even begin to say thank you enough, or to show my gratitude. You’re an amazing person, wonderful doctor, and my hero. All in all, you ROCK!!!
2015-03-30T12:00:42+00:00
I wanted to write you a thank you letter because I would never be able to find the words to say how much I appreciate everything you did for me. Thanks to you I can feel normal and not always
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You all are the best!

Thank you so much for ALL of your help in my recovery thru “sometimes emotional” journey with my cancer. You all were always professional and took the time with my long list of questions. I can n0t thank you enough! Easter is my favorite time of the year and I pray God will continue to strengthen your gift and skills in healing because you all are the best!
2015-03-30T12:02:02+00:00
Thank you so much for ALL of your help in my recovery thru “sometimes emotional” journey with my cancer. You all were always professional and took the time with my long list of questions. I can n0t thank you enough!
Read more ›

Amazing!

I’m ecstatic with my new body. It is PERFECT! I can’t even put in wordshow we feel, You are so compassionate unlike any Doctor I’ve met. I realize I’ve been a needy patient and you handled me well. You’ve gone above and beyond with me after hours for medications and issues. Also more quotes than necessary, but you did it! Your work ad attentiveness to my expectations I can’t say enough!! Now to pu the finale pictures in your gallery to show how complete I am now! You are AMAZING! Thank You! It’s been a very long, hard journey! Now to live life with the new ME!
2015-03-30T12:02:20+00:00
I’m ecstatic with my new body. It is PERFECT! I can’t even put in wordshow we feel, You are so compassionate unlike any Doctor I’ve met. I realize I’ve been a needy patient and you handled me well. You’ve gone
Read more ›

With appreciation

With appreciation for putting me back together!
2015-03-30T12:02:40+00:00
With appreciation for putting me back together!

I am forever grateful

I consider myself blessed to be under your care as I navigated the stormy sea of breast cancer diagnosis, surgery, reconstruction, and recovery. I cannot thank you enough and am so pleased with the results! You have all been wonderful, and I will miss seeing you even though I am thrilled to be healed and moving on! The impact you have on patients who are scared and overwhelmed cannot be overstated...and I am forever grateful.
2015-03-30T12:03:02+00:00
I consider myself blessed to be under your care as I navigated the stormy sea of breast cancer diagnosis, surgery, reconstruction, and recovery. I cannot thank you enough and am so pleased with the results! You have all been wonderful,
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Thank You

Thank you,
For me, you are as similar as God because you created me again. It’s an amazing feeling. I feel my earlier life back again.
Once again thank you very much from the bottom of my heart.
2015-03-30T12:03:24+00:00
Thank you, For me, you are as similar as God because you created me again. It’s an amazing feeling. I feel my earlier life back again. Once again thank you very much from the bottom of my heart.

April 12, 2016

Since my hysterectomy, sex has been extremely painful. I suffered from extreme dryness and discomfort. I had no sex drive and was no longer able to experience an orgasm. Until, recently, when a friend told me about Courtney Albritton and PCI's ThermiVa treatment. I have had 2 of the 3 treatments and immediately experienced positive results. I am still in awe of the results I have experienced. The procedure was painless. Until ThermiVa, I had come to the realization that my sex life would no longer be what it once was pre-hysterectomy. I highly recommend this procedure.
2016-05-05T11:40:35+00:00
Since my hysterectomy, sex has been extremely painful. I suffered from extreme dryness and discomfort. I had no sex drive and was no longer able to experience an orgasm. Until, recently, when a friend told me about Courtney Albritton and
Read more ›

I am a patient at Dr. Andrews!

I am a patient at Dr. Andrews! I highly recommend utilizing their services. Very thorough consultations, educational and informative. They give you lots of options to fit your needs and guide you through it. Amazing staff that is highly trained with the most up to date procedures and tools. I can't say enough about Dr. Andrews and his amazing staff!
2016-09-28T15:22:01+00:00
I am a patient at Dr. Andrews! I highly recommend utilizing their services. Very thorough consultations, educational and informative. They give you lots of options to fit your needs and guide you through it. Amazing staff that is highly trained
Read more ›

January 11, 2017

Dear Dr. Andrews,
Thank you so much for all you’ve done for me and my family. You are trustworthy, kind and personable. We really appreciate you and your talent. Thank you
2017-01-11T13:02:59+00:00
Dear Dr. Andrews, Thank you so much for all you’ve done for me and my family. You are trustworthy, kind and personable. We really appreciate you and your talent. Thank you

Amy Bonney Cejka

Just had my surgery from Dr. Andrews and everything is great!! He is the most kindest Dr. ever!
5.0
2017-01-22T15:30:46+00:00
Just had my surgery from Dr. Andrews and everything is great!! He is the most kindest Dr. ever!

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Before & Afters

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