This paper investigates the Lamb wave imaging method combining time reversal for health monitoring of a metallic plate structure. The temporal focusing effect of the time reversal Lamb waves is investigated theoretically. It demonstrates that the focusing effect is related to the frequency dependency of the time reversal operation. Numerical simulations are conducted to study the time reversal behaviour of Lamb wave modes under broadband and narrowband excitations. The results show that the reconstructed time reversed wave exhibits close similarity to the reversed narrowband tone burst signal validating the theoretical model. To enhance the similarity, the cycle number of the excited signal should be increased. Experiments combining finite element model are then conducted to study the imaging method in the presence of damage like hole in the plate structure. In this work, the time reversal technique is used for the recompression of Lamb wave signals. Damage imaging results with time reversal using broadband and narrowband excitations are compared to those without time reversal. It suggests that the narrowband excitation combined time reversal can locate and determine the size of structural damage more precisely, but the cycle number of the excited signal should be chosen reasonably.