
Ulthermage is a representative combination lifting treatment that uses radiofrequency and ultrasound energy together, and it is a procedure with strong synergy.
But in real consultations, there is a question that comes up far more often than expected.
“Do I need 600 shots for it to work?”
“Isn’t 300 shots too few?”
However, in reality, there are things that should be checked before the number of shots.
If you approach it by focusing only on a high shot count without fully assessing the condition of the face, there are cases where it feels different from what was expected.
Especially among people considering Ulthermage in Mapo, many already have experience with lifting procedures, so there is a growing tendency to look less at simply “stronger” treatment and more at what kind of face suits which method.
These cases tend to have high satisfaction with Ulthera
We currently use the latest version, Ultherapy Prime.
Its DeepSEE function, which lets us directly check the tissue layers inside the skin with ultrasound imaging, has been further improved, allowing energy to be delivered more precisely.
This device is a lifting system that delivers focused ultrasound energy to the SMAS layer, inducing collagen and elastin regeneration.
In particular, if concerns like the following are the main issue, satisfaction is often high.
- When the jawline boundary has become less defined
- When the lower face feels heavy
- When the face line looks dull in photos
- When the side profile contour no longer feels the same as before
On the other hand,
- A rougher skin texture
- Increased fine lines
- Makeup not sitting smoothly
- Reduced skin elasticity
If these changes are more central, Thermage may feel more effective.
So in practice,
rather than a simple comparison like “Ulthera vs. Thermage,” it is important to first see which of my current concerns is closer.

Mapo Ulthermage: the approach is different for face types with little fat
These days, rather than simply strong lifting, many people place more importance on maintaining a natural facial balance.
In particular,
- If your face naturally has little fat
- If your cheekbone structure stands out
- If you also have hollow cheeks
for this type, rather than simply increasing the number of shots, controlling the energy by area can be much more important.
In fact, even with the same 600 shots, some people are highly satisfied while others feel, “It was not as good as I expected,” and that can often be traced back to these differences.
That is why recently, rather than treating the whole face the same way, there is a much stronger trend toward paying attention to the design process, such as
- which areas to focus on
- which layer to concentrate the energy on
- how to distribute the intensity
Thermage is often highly satisfying for this type
Thermage FLX is a representative premium radiofrequency (RF) device, and it tends to be highly satisfying when the skin is thin and elasticity has declined.
By delivering radiofrequency energy to the dermis and inducing collagen regeneration, it is often used to look not only at contours but also at pores, fine lines, skin elasticity, and texture changes.
In particular,
- A loose or soft skin feeling
- Enlarged pores
- Increased fine lines
- Skin that makeup easily breaks down on
- Reduced skin radiance
If these changes are the main issue, satisfaction often feels high.
In actual consultations as well,
“I do not think my face has sagged much, but my skin overall feels less elastic.”
People who say this often place greater importance on this treatment direction.

This is how Mapo Ulthermage is often approached these days
In the past, there was an atmosphere of preferring a high shot count and strong lifting no matter what, but recently there are far more cases that prefer
- naturally refining the face line around the areas of concern
- also looking at skin elasticity and texture
- a clean, refreshed impression without excessive change
Because of this, there is also a growing trend of dividing the roles between Ulthera for contour-focused care and Thermage for skin elasticity-focused care.
What matters is not whether the two are always done together, but the process of first seeing what is most important for the current facial condition.

In the end, what matters is not “how many shots,” but “whose face is it?”
Lifting is a procedure where even with the same device and the same number of shots, the difference in how it feels can be quite large depending on facial structure and skin condition.
In particular,
- Amount of facial fat
- Skin thickness
- Where elasticity has decreased
- Face shape
- Whether there has been prior lifting experience
Depending on these factors, the appropriate energy direction can differ.
So if you are considering Mapo Ulthermage, rather than focusing only on a high shot count, it may be much more important to look together at what changes your face currently needs first.












Previous image
Next image










Previous image
Next image