Hello.
I am Dr. Tae-oh Park, director of Relive Clinic.
Ulthera is known as a representative ultrasound lifting procedure, right?
Many people seek this treatment to improve sagging jawlines, deep cheek fat, and double chins.
However, even when receiving the same Ulthera treatment, satisfaction with the results can vary greatly.

While some people say, “The results were better than I expected,”
quite a few also say, “The change was less noticeable than I expected.”
The reason is simple.
The results of Ulthera are not determined by the device alone.
This is because multiple factors work together, including analyzing the skin condition, distributing the shots, setting the energy level, and applying the treatment technique.

How Ulthera forms thermal coagulation points
How does Ulthera improve firmness?
Ulthera uses high-intensity focused ultrasound (HIFU) to form thermal coagulation points in the deeper layers of the skin.
The main target is the SMAS layer, an important structure that supports the face between the skin and muscles.
When ultrasound energy is delivered to this area, the tissue contracts, creating an immediate tightening effect.
Over the following several months, the production of new collagen is induced.
Therefore, Ulthera can be understood as a method that does not simply pull the surface of the skin, but instead induces renewal of the structures that support the skin itself.

↓ Key Ulthera points to check ↓
| Category | What to check |
|---|
| Consultation and diagnosis | Analysis of skin thickness, fat volume, and the cause of sagging |
| Shot distribution | Customized allocation focused on areas of sagging |
| Treatment by skin layer | Consideration of both the dermal and SMAS layers |
| Use of DeepSEE | Identifying the target layer through real-time imaging |
| Treatment technique | Adjusting shot spacing, pressure, and energy |
5 factors that determine the results of Ulthera
1. Accurate diagnosis and consultation
: The cause of sagging differs from person to person.
Some people have sagging due to a large amount of fat, while others have reduced skin elasticity or weakened support from the fascial layer.
Before the procedure, it is important to accurately analyze skin thickness, the distribution of the fat layer, skin elasticity, and the location of sagging.
In particular, conducting the consultation while the patient is seated can help assess the condition of sagging caused by actual gravity.
2. Shot distribution is more important than the number of shots
: Many people focus on how many shots they will receive.
However, where and how the shots are distributed is much more important.
Areas with concentrated sagging, such as the deep cheeks, jawline, and double chin, may require relatively more energy.
Conversely, evenly distributing shots across unnecessary areas may reduce the overall lifting effect.
3. Approaching each skin layer
: One advantage of Ulthera is that it can treat multiple skin layers at different depths at the same time.
The superficial dermal layer can help improve skin texture and fine lines.
The deeper dermal layer strengthens the skin’s supporting capacity.
Rather than treating only one particular layer, it is necessary to make appropriate use of multiple layers to expect natural-looking results.

4. Checking DeepSEE imaging
: One of the most important features of Ulthera and Ultherapy Prime is DeepSEE real-time imaging technology.
Because the skin’s structures can be directly monitored and checked through the ultrasound screen during the procedure, energy can be delivered accurately to the target layer.
Since skin thickness and SMAS depth differ depending on the area of the face, checking these factors during the procedure is a very important step.
5. Appropriate shot spacing and overlap
: Ultrasound energy must be delivered evenly at consistent intervals.
If the spacing is too wide, gaps in energy delivery may occur.
If there is excessive overlap, unnecessary tissue stimulation may occur.
Maintaining appropriate spacing and an appropriate energy overlap ratio is key to improving both the results and safety of Ulthera.

Conclusion
Ulthera and Ultherapy offer excellent device performance and effects.
However, delivering ultrasound energy to the skin does not produce the same results for everyone.
The treatment approach changes depending on the cause of facial sagging, which layers should be treated with emphasis, and which areas should receive concentrated energy.

The reason results differ even when the same device is used is precisely the difference in these detailed processes.
If you are considering the procedure, it may be helpful to first determine what changes are needed for your face.
Thank you for reading this lengthy post.
I am Dr. Tae-oh Park of Relive Clinic.
※ This post is informational content written directly by Apgujeong Relive Clinic in compliance with Article 56, Paragraph 1 of the Medical Service Act.
※ Treatment results and effects may vary from person to person, and side effects such as swelling, bruising, or inflammation may occur.