I am a 56 year old woman. I wanted a nonsurgical procedure to improve the "sag" in the lower half of my face I found a place that does thermage at a clinic called Ultra Medic laser Skin Studio. The procedure took 2.5 hours, and was a little painful at the time, even with pre-procedure valium and vicodan. It felt like pinpricks. Afterwards, my skin felt a little tight and sore, but essentially there were no negative after-effects. Improvement is supposed to occur over several weeks, but after only a few days I notice I definitely look less tired, particularly around the eyes and cheeks. My "marionnette" lines have improved. Perhaps there will be greater improvement over the next few weeks. I had my procedure done by a well respected clinic Ultra Medic Laser Skin Studio and would recommend this clinic to anyone