Clinic Study: Thermomechanical Ablation: A Safer Way to Rejuvenate Skin?

The Smart Group
By The Smart Group

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Skin ageing and acne scarring drive demand for effective treatments with minimal downtime. While lasers and chemical peels are well-known, they often come with discomfort, long recovery periods, and risk of complications. A new technique—Thermomechanical Ablation (TMA)—claims to deliver comparable results with fewer drawbacks. This retrospective study of 150 patients evaluates just how safe and tolerable this approach really is.

11. Judodihardjo and Rajpar - Retrospective study on the safety and tolerability of clinical treatments.pdf

To view the PDF please click here.

What Is Thermomechanical Ablation (TMA)?

  • A non-laser, non-radiofrequency device that transfers controlled heat directly to the skin.

  • Uses a heated titanium tip (385–400°C) to create fractional skin damage similar to ablative lasers, but without charring or bleeding.

  • Designed for photodamage and acne scars, with options for delicate areas such as around the eyes.

How Was the Study Conducted?

  • 150 patients (aged 20–82, Fitzpatrick skin types I–V) treated across two UK centres.

  • Total: 327 treatment sessions with over 148,000 pulses delivered.

  • Parameters tailored by skin type and treatment goals.

  • Most patients required no anaesthesia at lower settings; recovery allowed for immediate or 48-hour return to makeup use.

What Were the Results?

  • Main indications: photodamage (145 patients) and acne scars (5 patients).

  • Treatments well tolerated across all skin types, with most experiencing minimal downtime.

  • Only four minor complications reported:

    • Post-inflammatory hyperpigmentation (2 cases, resolved in 3 months).

    • Contact dermatitis (1 case, resolved within a week).

    • Mild impetigo (1 case, cleared with topical antibiotics).

Why Choose TMA Over Other Methods?

  • Less invasive: No charring, minimal discomfort, shorter downtime compared to fractional CO2 lasers.

  • Safe for a wide range of skin types: No permanent side effects observed.

  • Simplified treatment protocol: Adjusting contact time rather than multiple parameters improves consistency.

This study suggests that Thermomechanical Ablation is a safe, well-tolerated option for facial rejuvenation and acne scarring, with very low rates of temporary side effects and no lasting complications. As demand for effective yet minimally invasive procedures continues to grow, TMA appears to offer a promising alternative to traditional resurfacing methods.

Interested in learning more about innovative skin treatments? Explore our resources on advanced technologies or speak to a qualified practitioner to see if TMA could be right for you.

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