One of the first changes that becomes concerning with age is facial sagging. If consistent use of firming creams doesn't seem to improve nasolabial folds or a sagging jawline, it's highly likely that the problem lies in a deeper layer than the epidermis or dermis. In the clinic, many patients complaining of sagging are found to have looseness in the underlying SMAS layer, rather than just the skin surface.
Ulthera is a lifting procedure that delivers high-intensity focused ultrasound energy to this SMAS layer, lifting tissues from within. So, what should you consider to achieve more satisfying results with Ulthera? Today, we will summarize three key points that determine the effectiveness of the treatment.
Which Layer Does Ulthera Lift?
The skin consists of the epidermal layer, dermal layer, and the underlying SMAS layer. The SMAS layer is where facial sagging often begins. Ulthera delivers ultrasound energy to this SMAS layer, lifting tissues from within.
Many people expect changes in the following areas:
- Nasolabial folds extending from the mouth
- Sagging jowls, often called "bulldog jowls"
- Double chin line under the jaw
- Overall blurred facial contours
Unlike treatments that only provide superficial stimulation, the approach of reaching the SMAS layer is why Ulthera Prime Lifting is consistently sought after. Many also consider Thermage FLX, which uses a high-frequency method, for similar elasticity concerns.
First, Be Sure to Check for Genuine Tips
Ulthera treatment tips are expensive equipment. This has led to discussions about the use of refurbished tips.
Two problems are reported when using refurbished tips. One is that uneven energy delivery can lead to laser burns, and the other is that the lifting effect may be reduced because the energy does not sufficiently reach the SMAS layer.
Therefore, it is important to make it a habit to directly check the genuine tip certificate before the procedure.
Whether an expensive tip is genuine affects both the risk of burns and the lifting results. Checking for genuine certification before the procedure is a safe starting point.
If you have any questions about Ulthera, you can easily check by contacting us via chat for Ulthera treatment inquiries.
Second, Check if the Procedure is Performed with Monitoring
There's a reason why Ulthera is known as a procedure with relatively low risk of side effects. Ulthera features 'Deep See' ultrasound imaging technology, which allows the practitioner to directly view the skin condition during the procedure and precisely target the SMAS layer.
Conversely, what happens if the procedure is performed without this video monitoring? Heat applied to the fat layer instead of the SMAS layer can lead to a sunken cheek appearance. This means that instead of lifting, the result could be a hollowed look.
Therefore, to enhance effectiveness, it is necessary for an experienced Ulthera practitioner to monitor the screen and accurately deliver energy to the SMAS layer. At Yonsei Star Dermatology Sinchon, a dermatologist directly performs the procedure, verifies with Deep See, and customizes the design for each area.
Third, Pay Attention to the Treatment Cycle
Another advantage of Ulthera is its duration of effect. The effects are reported to last for about 1 year after the procedure, which is relatively long compared to other lifting treatments.
| Category | Content |
|---|---|
| Duration of Effect | Reported to last up to about 1 year |
| Recommended Cycle | Regular treatment once a year |
| After 2nd session | Satisfaction can be maintained even with fewer shots than initially |
Due to these characteristics, it is often recommended to receive the treatment regularly once a year. From the second session onwards, many patients find satisfactory results even with fewer shots than the initial treatment. Some also combine Gouri Collagen Booster or Juvelook Skin Boosters between cycles for additional elasticity.
If You're Concerned About Pain, Consider the Anesthesia Method
One of the main reasons people hesitate about Ulthera is pain. Therefore, more people are looking into sleep anesthesia.
However, if performed under sleep anesthesia, it can be difficult to monitor discomfort or reactions during the procedure, which might lead to setting the intensity too high. In such cases, burns or side effects may occur, as reported.
To reduce such risks, Yonsei Star Dermatology Sinchon applies Topical Anesthetic Cream sufficiently and then proceeds while monitoring reactions during the procedure. This method aims to reduce pain burden while ensuring safety.
Pre- and Post-Procedure Checklist
To enhance the effectiveness of Ulthera, it's good to remember the following:
- Check the genuine tip certificate at the clinic.
- Confirm whether the procedure includes video monitoring, such as Deep See.
- Plan your treatment cycle based on a yearly interval.
- Consult about anesthesia methods that consider both pain and safety.
- After the procedure, pay attention to moisturizing and sun protection.
If you are curious about the appropriate treatment intensity or cycle for your skin condition, please use Ulthera customized consultation chat inquiry.
Today, we've summarized three ways to enhance the effects of Ulthera lifting: checking for genuine tips, performing the procedure with video monitoring, and managing the appropriate cycle. Remembering these three points can help significantly boost your satisfaction with the treatment. As individual results and duration may vary, we recommend consulting with a medical professional to create a plan tailored to your skin.
Dr. Sang-Joo Lee, Chief Director (MD, PhD, Yonsei University College of Medicine and Graduate School; Resident, Severance Hospital Dermatology; President, Korean Dermatological Association) Dr. Sang-Joo Lee's Profile First Published 2023-11-07 / Last Reviewed 2026-06-16
This content is for general informational purposes only, and individual results and reactions may vary. Accurate diagnosis and treatment plans should be determined through consultation with medical staff.