Methods for creating tissue effect utilizing electromagnetic energy and a reverse thermal gradient

1. A method of creating a tissue effect at a tissue site using an electromagnetic energy delivery device, the method comprising:

delivering electromagnetic energy from the electromagnetic energy delivery device transcutaneously through a skin surface;

creating a reverse thermal gradient through the skin surface to sufficiently heat an underlying tissue, wherein a temperature of the skin surface is lower than a temperature of the underlying tissue;

detecting the temperature of the skin surface;

heating the skin surface and underlying tissue in response to the detected temperature of the skin surface; and

using the electromagnetic energy to create the tissue effect in at least a portion of the tissue site.

2. The method of claim 1 , wherein the tissue effect is dermal remodeling, dermal tightening, wrinkle reduction, elastosis reduction, scar reduction, sebaceous gland removal or deactivation, reduction of sebaceous gland activity, hair follicle modification, adipose tissue remodeling or removal, spider vein removal, modification of skin irregularities, creation of scar or nascent collagen, or modification of skin pore size.

3. The method of claim 1 , wherein the tissue effect is a reduction of skin bacteria activity or unclogging of skin pores.

4. The method of claim 1 , further comprising:

storing information in a memory coupled to facilitate operation of at least one of the electromagnetic energy delivery device or an electromagnetic energy source coupled with the electromagnetic energy delivery device.

5. A method for creating a tissue effect at a tissue site using an RF energy delivery device with an energy delivery surface, the method comprising:

coupling the RF energy delivery surface with a skin surface;

creating a reverse thermal gradient through the skin surface to sufficiently heat the tissue, wherein a temperature of the skin surface is lower than a temperature of the underlying tissue;

detecting the temperature of the skin surface;

delivering RF energy from the RF energy delivery device transcutaneously through the skin surface to the underlying tissue in response to the detected temperature of the skin surface; and

using the RF energy to create the tissue effect on at least a portion of the tissue site.

6. The method of claim 5 , wherein the tissue effect is dermal remodeling, dermal tightening, wrinkle reduction, elastosis reduction, scar reduction, sebaceous gland removal or deactivation, reduction of sebaceous gland activity, hair follicle modification, adipose tissue remodeling or removal, spider vein removal, modification of skin irregularities, creation of scar or nascent collagen, or modification of skin pore size.

7. The method of claim 5 , wherein the tissue effect is a reduction of skin bacteria activity or unclogging of skin pores.

8. The method of claim 5 , further comprising:

storing information in a memory coupled to facilitate operation of at least one of the RF energy delivery device or an RF energy source coupled with the RF energy delivery device.

9. A method of creating a tissue effect using an energy delivery device, the method comprising:

reducing a temperature of at least a portion of a skin surface, wherein the temperature of the skin surface is less than the temperature of an underlying tissue when the temperature of the skin surface is reduced;

non-continuously delivering electromagnetic energy in a transcutaneous manner from the electromagnetic energy delivery device through the skin surface to the underlying tissue; and

using the electromagnetic energy to create the tissue effect on at least a portion of the underlying tissue.

10. The method of claim 9 , wherein the tissue effect is dermal remodeling, dermal tightening, wrinkle reduction, elastosis reduction, scar reduction, sebaceous gland removal or deactivation, reduction of sebaceous gland activity, hair follicle modification, adipose tissue remodeling or removal, spider vein removal, modification of skin irregularities, creation of scar or nascent collagen, or modification of skin pore size.

11. The method of claim 9 , wherein the tissue effect is a reduction of skin bacteria activity or unclogging of skin pores.

12. The method of claim 9 , further comprising:

storing information in a memory coupled to facilitate operation of at least one of the electromagnetic energy delivery device or an electromagnetic energy source coupled with the electromagnetic energy delivery device.

13. A method of creating a tissue effect using an electromagnetic energy delivery device, the method comprising:

non-continuously reducing a temperature of at least a portion of a skin surface, wherein the temperature of the skin surface is less than the temperature of an underlying tissue; and

transcutaneously delivering electromagnetic energy from the electromagnetic energy delivery device to create the tissue effect in at least a portion of the underlying tissue.

14. The method of claim 13 , wherein the tissue effect is dermal remodeling, dermal tightening, wrinkle reduction, elastosis reduction, scar reduction, sebaceous gland removal or deactivation, reduction of sebaceous gland activity, hair follicle modification, adipose tissue remodeling or removal, spider vein removal, modification of skin irregularities, creation of scar or nascent collagen, or modification of skin pore size.

15. The method of claim 13 , wherein the tissue effect is a reduction of skin bacteria activity or unclogging of skin pores.

16. The method of claim 13 , further comprising:

storing information in a memory coupled to facilitate operation of at least one of the electromagnetic energy delivery device or an electromagnetic energy source coupled with the electromagnetic energy delivery device.