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2026 Does Thermage Hurt? Where It Hurts and How to Reduce Pain

Dr. Choi Wonhyuk Merz / Solta manufacturer-certified
Director · 16 years in clinical practice · Updated 2026-10-05

It does hurt. I have had Thermage myself, and the most painful areas were close to bone — the cheekbones, the back of the jaw and the jaw angle. Those spots hurt because they are close to bone, not because the effect is better there. For Thermage we apply numbing cream, which is not charged separately, and we do not use local anesthetic injections; if you are still worried, Airnox can be discussed in advance and is charged separately. If one spot hurts particularly during treatment, tell me where — I adjust the intensity and spread the energy area by area rather than lowering the energy across the whole face.

Where it hurts: areas close to bone are the most noticeable

I have had Thermage myself. The most painful areas were the cheekbones, the back of the jaw and the jaw angle, where the bone sits just beneath the skin. The skin under the eyes is thin, so that area also hurts somewhat more than others.

What to remember is that these spots hurt because they are close to bone, not because the effect is better there. Pain is not a measure of effect, and more pain does not mean a better result; for how to judge the result afterwards and how long it takes to show, read Thermage results in Korea.

You don’t have to grit your teeth to get results

Thermage is for looking better, not a pain-endurance test. If it hurts you too much, I consider that to have gone too far.

So if one spot hurts particularly during treatment, tell me exactly where. Telling me the location doesn’t mean your tolerance is low; it lets me know which area needs adjusting. When I reach these places, I slightly adjust the intensity for that area and spread the energy as appropriate.

“Spreading the energy” here only means I pay attention to which areas the energy goes to. It does not mean lowering the energy across the whole face because one spot hurts too much. I deliver as much energy as I can within what you can tolerate, balancing comfort and effect.

Numbing cream is standard; discuss Airnox in advance

For Thermage we first apply numbing cream and do not use injected local anesthesia. Numbing cream is included in the listed price and is usually not charged separately.

If you have had a very uncomfortable experience with Thermage before, tell us first which area was hardest to bear at the time. If you worry that numbing cream won’t be enough, you can also discuss Airnox (nitrous oxide) in advance; it is charged separately, and when combined with the treatment the fee depends on the treatment and how long it takes. For how to work out the total including VAT, read Thermage prices in Korea; the Airnox price on its own is on the price list.

This lists only what we actually use for Thermage; which suits you can be discussed together before treatment.
Pain-relief optionHow we use itCost
Numbing cream (topical anesthesia) Our standard approach for Thermage, applied before treatmentIncluded in the listed price, not charged separately
Local anesthetic injection Not used for Thermage—
Airnox (inhaled oxygen + nitrous oxide sedation) Discussed in advance if you worry numbing cream will not be enoughCharged separately; when combined with a treatment, the fee depends on that treatment and how long it takes
Adjusting by area Point to the spot that hurts particularly, and I adjust the intensity and energy distribution thereNot charged separately
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FAQ

Where does Thermage hurt the most?
Most noticeably in areas close to bone, such as the cheekbones, the back of the jaw and the jaw angle. Thin-skinned areas such as under the eyes also hurt somewhat more than other areas.
Do you use local anesthetic injections for Thermage?
No. For Thermage we apply numbing cream and do not use injected local anesthesia. Numbing cream is usually not charged separately.
If numbing cream isn't enough, does Airnox cost extra?
If you want to reduce pain further, Airnox (nitrous oxide) can be discussed in advance; it is charged separately.
Does more pain mean Thermage works better?
You can't judge it that way. Pain is not a measure of effect; I adjust area by area and deliver as much energy as I can within what you can tolerate.
Dr. Choi Wonhyuk
Dr. Choi Wonhyuk Merz / Solta manufacturer-certified
Director · Dr. Designer Clinic · 16 years in clinical practice · Updated 2026-10-05

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2026 Thermage Results in Korea: When Visible, How Long They LastChoosing · Dr. Choi Wonhyuk · Updated 2026-10-05

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