Thermage, thermacool, or thermalift is the most innovative, non-surgical, non-invasive, no “down time” procedure for treatment of loose or lax skin of the face and body areas which need firming and contouring.

Nurse Rada at Dr. Robert DeStefano’s office in Calabasas, CA. has been using Thermage to treat skin laxity of the face, neck and body since May of 2003. In fact the official website for Thermage posted some of Rada’s client “Before & After” photos. Mention “ to receive a 10% discount on any Thermage treatment performed at Dr. De Stefano’s office in Calabasas, CA.- Apr. 10 2012 to Aug. 30 2012.

Thermage is FDA approved.

Thermage can be used for treatment on any area of the face, neck, body, and even the eyelids using the most current Thermage upgraded system, Comfort Pulse Technology (CPT).

CPT provides an improved, more uniform heating action that causes the structures in the skin and underlying tissue to immediately tighten while stimulating collagen growth and offers a more comfortable treatment of the face and neck. The thin skin of the eyelids is treated with a specialized tip with a shallow heating profile.

Thermage has also been found to provide a modest improvement to acne scars.

Body shaping Thermage treatments are beneficial for firming the skin, treating cellulite and for deep contouring and circumferential reduction. The body treatment hand piece with large 16 cm deep heating treatment tips allows for a faster, more comfortable and more effective treatment. Body shaping treatments are used for contouring and smoothing of the abdomen, “love handles,” thighs,


Thermage Treatment

buttocks and upper arms and for treating cellulite.

How Does Thermage Work?

Thermage skin tightening procedures:

Much of the advanced technology is in the disposable tip, which must be programmed for the impedance (electrical resistance) of each individual. Four corner sensors measure the temperature of the cooled skin surface. The passage of radio frequency energy is automatically blocked if the protective temperature is not correct. This system guards against surface damage and allows the ability to treat with no “down time.”

Each pulse of radio frequency causes a uniform heating of the deep layers (dermis) of the skin. The collagen structure responds to heating with a measurable contraction, then a gradual remodeling of the collagen. The full response, allowing time for new collagen formation, may be seen in as little as two months and may take as long as six months.

Thermage CPT System Offers Improved Patient Comfort

Unlike the painful Thermage treatments of the past, the improved Thermage CPT (Comfort Pulse Technology) System offers a significant improvement in patient comfort. The unique vibrating hand piece interweaves pulsed radio frequency delivery with cooling bursts mimicking “Transcutaneous Electrical Nerve Stimulation” (TENS) therapy to disrupt the brain’s neural response and improve comfort during treatment.

The redesigned treatment tips deliver enhanced heat distribution and uniformity, which lead to improved volumetric heating. A greater volume of tissue is heated to target temperatures and the heating is more evenly distributed across the treatment area.

This vibrating CPT hand piece is used for easily tolerated treatment to the face and neck. This area is now treated without the use of pain medication. We are also, under certain circumstances, able to use this hand piece on the upper arms for contouring and firming with a 3.0 cm deep heating treatment tip.

Thermage Body Shaping Treatment is designed for the same smoothing and thermage skin tightening which the standard tip provides but, since the heat penetrates approximately 80% deeper, to the subcutaneous fat layer, a body contouring effect is seen. This procedure also provides benefit to patients with mild to moderate cellulite.

By applying deep heat, along with specific superficial cooling, the collagenous connective tissues are restored and local circulation is improved. This results in smoothing of dimples and improved skin texture. The Body Shaping Treatment results in circumferential reduction decrease in surface irregularities, improvement of skin texture, firming, lifting and tightening of lax skin and reduction of cellulite. Positive results have been reported in 2-3 months, with full effect seen in 6 months.

Thermage for Treating the Eyes

Thermage treatment to the eyelids and surrounding area results in tighter, smoother skin. Following treatment, the eyes appear more open, wrinkle lines, “crow’s feet and under eye bags are reduced. Smoother eyelid skin makes application of makeup easier. The eyelid area can be treated alone, or in conjunction with the face and neck. To protect the eye from absorbing heat, plastic eye shields will be inserted.

Tetracaine ophthalmic drops will be instilled to numb the eye prior to insertion of the eye shield. A small 0.25 cm treatment tip with a shallow heating profile will be used on the eyelid skin. The regular 3.0 cm tip will be used on the area above the eyelid, below the eye and on the outer eye corners. The treatment is associated with very little discomfort and minimal swelling. If eyes are dry or irritated following treatment, artificial tears can be used.

Thermage has provided consensus guidelines, which assure safer treatment with more consistent results. Dr. De Stephano’s office has incorporated all of the latest treatment advances for the Thermage procedure. Current consensus guidelines, which reviewed 5700 Thermage cases, reveal a 93% patient satisfaction rate. Results have been shown to last 2-4 years. As with any procedure, individual results may vary.


  1. Non-surgical, non-invasive procedure.
  2. No general anesthesia required.
  3. No “down time” allows return to usual activities without delay.
  4. Gradual improvement in appearance rather than sudden change.
  5. Conservative improvement, which appears natural and not “overstretched”.
  6. Option for additional treatment for further improvement if desired, but generally only one treatment can last for up to two years.
  7. Relatively short treatment time of one to three hours.
  8. Costs are much less than comparative surgical procedures for similar benefit.


  1. Best results are seen with mild to moderate wrinkling and laxity.
  2. Response in more severe wrinkling or laxity is unpredictable and may range from minimal to more than satisfactory.
  3. Discomfort of treatment ranges from mild to severe and may require mild sedative and/or pain medication.

The use of Valium or Vicodin requires a responsible driver.

  • Some individuals will require a second treatment for best results and some will not respond at all.
  • Long term ill effects have not been seen and are not expected, but are unknown.

Possible Side Effects May Include:

  1. Redness may be expected and may last a few hours.
  2. Blistering has been reported but is a rare exception. Blistering can lead to infection, which can be health or life threatening, and may result in scarring. Choose a professional that has much experience administering Thermage treatments, such as Nurse Rada at Dr. De Stefano’s office in Calabasas, CA. (818) 222-7495
  3. Swelling is typically minimal and may last 3-4 weeks, with swollen areas feeling tender. In rare cases, swelling may be moderate, but decreases within a week. Nodular swelling may also occur and resolves within a month.
  4. Transient and focal altered sensation with tingling or numbness have been reported. Resolution is typically within a few weeks. Nerve damage may occur at the treatment site. This side effect is unlikely but can occur.
  5. Skin textural changes, “surface irregularities,” such as “small dents,” “rippling,” “ridging,” or “waffle pattern” have been reported. These may be delayed and become evident one or more months following treatment but usually resolve or can be treated with tissue fillers such as Juvederm and Restylane.
  6. Adverse events have been reported at a rate of .04%.


  • Pregnancy or breastfeeding
  • Pacemaker or internal defibrillator
  • Cochlear implants
  • Implantable ocular lenses (if treating eyelids)


  • Dental braces
  • Dental prostheses (dentures), unless removable
  • Metal parts in the area to be treated (bone screws, plates, wires)
  • Diabetes
  • Autoimmune disease
  • Permanent makeup- we will not treat over permanent makeup, as it often contains iron oxide, which can absorb excessive heat. If permanent makeup is present in the treatment area, we will treat around it
  • Post Lasik-treatment to eyelids must be delayed several months to allow for proper healing

Thermage Prices:

Full Face and Neck $2,200.00

Full Face and Eyelids $2,800.00

Face, Neck and Eyelids $3,200.00

Forehead and Eyelids $2,000.00

How Much Does Thermage Cost for the Body (includes both Body Contouring and Cellulite Treatments):

Small Body Area $2,300.00

Average Body Area $2,800.00

Large Body Area $3,300.00 – $4000.00

Thermage Body costs will be determined at the time of consultation.

Receive 10% off a Thermage treatment performed at Dr. De Stefano’s office, between Apr. 10 – Aug. 30 2012 when you mention

Take advantage of this offer when you book your appointment with Nurse Rada at

Robert A. De Stefano, M.D., Inc.

23501 Park Sorrento, Suite 216

Calabasas, Ca 91302

(818) 222-7495


Inner Peace

“Profound inner peace is my heartfelt desire. I begin my day in the silence of prayer or meditation. My quiet thoughts become quieter still, as I go to my inner sanctuary. I open my mind to the gentle presence of Spirit and experience a deep sense of calm. As I listen with my heart, answers float to the surface and I have faith in the answers I receive.  I continue with my day in deep serenity and peace.”

Daily Word

The Royal “Beauty Water” Recipe

NOTE: Use the recipe and information at this site at your own risk.
I’m a recent fan of “Royal Beauty Water”, a recipe of the Royal family.  It may well be the secret to the Queen’s flawless and youthful complexion. A former cook of the royal family shared the recipe back in the 60′s, after she left the royal castle.
Loaded with the mineral silicon and Vitamin C, this recipe is known to help firm sagging skin, strengthen nails, help speed hair growth, and add sheen to hair. I modified the recipe a little so those with blood sugar or weight loss concerns may also enjoy the beauty benefits. Here’s my version of the Royal Beauty Water:
Beauty Water Recipe:
2 quarts of water  (I use *Ionized alkaline pH water but you can also use your preference)

1/2 cup of organic pearl barley (at health food stores)
6 oranges
2  lemons
Honey or Natural **Xylitol to taste
Combine the barley with water and bring to a boil. Cover and simmer for one hour. While simmering, wash the oranges and lemons well, juice them and slice the rinds. Then set aside. After one hour, strain the barley and keep the water. Add honey or Xylitol to taste to the hot water, then stir in the juices and rinds. Place in the fridge to cool. Remove the rinds before drinking. Drink with or between meals.

*Ionized Alkaline Water: You may have seen water ionizing systems for $4000 to $5000 but a friend of mine, Mary Jo, turned me onto to a  high quality Water Ionizer for JUST $699 to $1000.  I used to spend over $120 a month on bottled water. Now I use the ionizer Mary Jo recommended. Ionized  water not only enhances my family’s health, it helps my pocketbook and keeps me looking and feeling more youthful and energetic. The  ionizer  hooks up to your tap in minutes.
Below are many of the health benefits of  the drinking ionized water:
-  Removes lead, chlorine and other chemicals from tap water but leaves the minerals.
 - Cancer tumors grow in an acidic environment. Some studies indicate that drinking pH balanced alkaline water may help prevent some cancers.
- Hydrates the body up to 6 times more than regular water and much more.
-  Drinking Alkaline water  provides oxygen to the body for more energy,
-  Helps relieve seasonal allergies,
-  This unit also makes acid water which can be using to help clear acne or blemish-prone skin, helps clean fruits and veggies as it has antibacterial properties, and also a makes a great hair rinse.
 For more information on the savings and benefits of Alkaline pH water and acid water, just email Mary Jo at  and please tell her Louisa says hi.    :-)
**Xylitol is a low glycemic sugar alternative for those watching their weight, diabetics or those prone to yeast infections. Xylitol even helps prevent cavities. (Find it at a health food store) I also use Xylitol for making guilt-free desserts, on oatmeal or in herbal teas.

True Love

“True love is an acceptance of all that is, has been, will be, and will not be.”

Below, I posted an inspiring short story about true love that was sent to me from a friend……

It was a busy morning, when an elderly gentleman arrived to the hospital where I worked, to have stitches removed from his thumb. As I treated his wound, I noticed he kept looking at his watch and I asked if he was in a hurry. He told me that he needed to be at the nursing home by 9:00 a.m. to have breakfast with his wife. He also shared that his wife had been there for five years, she had Alzheimer’s disease, and that she no longer recognized him.

I was surprised and ask him, “And you still meet her every morning for breakfast, even though she doesn’t know who you are?” He smiled as he patted my hand and said. “She doesn’t know me, but I still know who she is.”

The woman who sent me this story added a lovely empowering quote, I’d also like to share with you today…..

 “Life isn’t about how to survive the storm, but how to dance in the rain.”

EGF for Skin Rejuvenation, Repair, Acne Scars & UV Protection

Since 2002, it’s been my mission to stay “ahead of the curve”, researching and revealing THE  most potent beauty, health and  skin care ingredients on the market.
EGF helps with skin rejuvenation, repair acne scarring and UV protection.

Over six months ago, I introduced many of you to  the age-reversal ingredient EGF (Epidermal Growth Factor) in two creams:  Ultimate Age-Proofing Complex and De-Aging Solution (for Sensitive skin).

EGF is creating a buzz and I’ve noted the skin rejuvenating benefits below:

- EGF promotes the reduction of wrinkles, stimulates cellular renewal, and thickens thinning or mature skin.

 - The proteins in EGF “attach” themselves to the dermis and epidermis, which thicken and add more volume to the face. Women over 50 begin to experience lost volume in the face, neck and tops of hands, so EGF is “here to the rescue”!
 - EGF is also an excellent post-chemical peel treatment. When trauma has taken place, EGF works by attracting cells to a wound site, speeding the repair process. The injured cells process EGF, speeding up wound-healing, allowing the skin to repair itself evenly and quickly.
-EGF cream is excellent for those with wound-healing issues and diabetic skin.
- Applying topical EGF can help reverse the harmful effects of UV rays.
- For those with acne lesions, EGF helps rebuild and heal the skin.
Both EGF creams I offer at  are guaranteed to have THE maximum percentage of EGF and are priced at the LOWEST price on the planet. That’s another part of my mission – offering age-proofing products I uncover at the lowest prices. Ultimate Age-Proofing Cream is only $49.95 HERE and De-Aging Solution is only $46.95 HERE
The prices for my EGF creams are 1/3rd the price that many doctors charge! So please take advantage of these amazing, potent, skin rejuvenating EGF creams.

My Body & Thoughts are Healthy

“Divine life is in motion within me.  I stretch my muscles, and walk daily. As I walk silently, I breathe deep, calm breaths, enjoying all life around me. I notice the trees and flowers I pass. I keep my thoughts positive and  feel energized and renewed. I also make conscious food choices  that nourish and protect my body. When I lie down to sleep, I bless my body from head to toe and thank God for my life and healthy body.”