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Ulthera: Is More Shots Always Better? (The Shot Count Formula That Avoids Sunken Cheeks)

WELLS Dermatology CLINIC / WELLS美容皮膚科 · 웰스피부과 본원 블로그 · December 8, 2025

Ulthera: Is More Shots Always Better? (The Shot Count Formula That Avoids Sunken Cheeks) ​ Hello. A place that studies the time of skin Wells Dermatology. ​ ​ When consulting about...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: WELLS Dermatology CLINIC / WELLS美容皮膚科

Original post date: December 8, 2025

Translated at: April 25, 2026 at 6:19 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Ulthera: Is More Shots Always Better? (The Shot Count Formula That Avoids Sunken Cheeks) image 1

Ulthera: Is More Shots Always Better? (The Shot Count Formula That Avoids Sunken Cheeks)

Hello.

A place that studies the time of skin

Wells Dermatology.

When consulting about lifting, the procedure most often compared with Thermage,

and also the one most people look for, is ‘Ulthera.’

But among those considering Ulthera,

there are often people who come in frightened after seeing reviews like this online.

“I had Ulthera done wrong, and my cheeks became so sunken I looked like a skeleton.”

“I spent a lot of money on it, but there was no effect at all.”

For some people, it becomes the lifting treatment of a lifetime,

but for others, it leaves a painful regret.

Today, we will clearly organize the ‘face-shape-specific strategy’ for successful Ulthera.

Table of Contents

  1. Ulthera is not just a simple ‘lifting’ machine.

  2. Why does the scariest side effect, ‘sunken cheeks,’ happen?

  3. 300 shots? 600 shots? How many shots are right for me?

  4. The ‘synergy combination’ that doubles the effect

Ulthera: Is More Shots Always Better? (The Shot Count Formula That Avoids Sunken Cheeks) image 2

  1. Ulthera is not just a simple ‘lifting’ machine.

In the past, Ulthera was simply thought of as a ‘lifting’ device that raises sagging tissue.

But the trend these days is different.

Ulthera is a device that ‘sculpts facial contours.’

The age groups and purposes of people seeking Ulthera have become very diverse.

20s to 30s: Double chin is thick, or there is too much cheek fat and the face looks large → fat reduction and contour refinement

40s to 60s: Due to aging, the jawline has collapsed and the skin has sagged → **powerful lifting and improved elasticity

This is because Ulthera’s powerful ultrasound energy

can target the fat layer deep in the skin to reduce unnecessary volume,

and can also stimulate the dermis to improve elasticity.

In other words, depending on whether the concern in my face is ‘sagging’ or ‘bulk,’

the way Ulthera is used must be completely different.

Ulthera: Is More Shots Always Better? (The Shot Count Formula That Avoids Sunken Cheeks) image 3

  1. Why does the scariest side effect, ‘sunken cheeks,’ happen?

Ulthera is not the right answer for everyone.

In particular, the side effect of ‘sunken cheeks’ must be carefully watched for.

The reason is simple. It is a failure of target setting.

As mentioned earlier, Ulthera has the effect of burning away fat.

It is very effective in areas where fat should be reduced, such as the double chin or jowls,

but

if excessive energy is applied to areas with little cheek fat or under the cheekbone where volume is already lacking,

the fat can collapse and make the face look even more hollow.

“If you already have hollow cheeks,

and want more facial volume?”

For these people, Ulthera can actually be the opposite of the right treatment.

That is why the most important thing is ‘accurate design’ and a ‘treatment performed while looking.’

Through an ultrasound imaging device that allows us to look inside the skin,

the bone, muscle, fat, and skin layers must be checked in real time.

In particular, Wells Dermatology has introduced ‘Ulthera Prime,’ which has an upgraded imaging system compared with the previous device.

With a larger and clearer screen, even the fine layers inside the skin can be distinguished more clearly,

making it possible to precisely avoid hollow areas and target only the areas that need to be reduced without error.

This is the decisive reason why, when an experienced specialist and the right device come together, side effects can be minimized.

Ulthera: Is More Shots Always Better? (The Shot Count Formula That Avoids Sunken Cheeks) image 4

  1. 300 shots? 600 shots? How many shots are right for me?

“How many shots do I need?”

Many people focus on the number of shots, but the answer lies in the face shape.

Light face type (Skinny Type): If there is little facial fat and the skin is not severely sagging?

→ Even within 300 shots, elasticity improvement is possible.

Heavy face type (Heavy Type): If the skin is thick, there is a lot of fat along the jawline, and aging has progressed significantly

→ More than 500 shots concentrated only on the lower face (jawline) are needed to see results.

More shots are not always better.

The key is to distribute them ‘where they are needed most’ according to skin thickness and fat amount.

Ulthera: Is More Shots Always Better? (The Shot Count Formula That Avoids Sunken Cheeks) image 5

  1. The ‘synergy combination’ that doubles the effect

If Ulthera alone feels insufficient,

it may be helpful to refer to the following best combinations.

① Worried about skin elasticity? (Ulthera + Thermage)

If Ulthera tidies the inner contour and Thermage tightly firms the outer elasticity,

you can achieve both lifting and tightening at the same time.

② Worried about swelling management? (Ulthera + Microwave)

If you are worried about swelling after Ulthera or want a smoother line,

try combining it with lifting using microwave (such as Fitting or Onda).

It is effective not only for easing swelling but also for refining remaining fat.

③ If the square jaw/salivary glands are large? (Ulthera + Botox)

If the cause of sagging is not fat but muscle or enlarged salivary glands,

you should combine Ulthera with Botox treatment

in order to achieve a clear V-line effect.

Ulthera: Is More Shots Always Better? (The Shot Count Formula That Avoids Sunken Cheeks) image 6

In closing

Ulthera: even with the same machine, the results are different.

When a board-certified dermatologist with extensive anatomical knowledge

  1. understands the distribution of fat and muscle in my face,

  2. looks directly inside the skin with ultrasound,

  3. and delivers energy precisely only to the areas that need it,

only then is the most ideal facial line we want finally completed.

Design your precious face safely at Wells Dermatology.

Thank you.

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Wells Dermatology Main Phone: 02 - 542 - 2372
Weekdays 10:00 ~ 20:00
Saturday 10:00 ~ 17:00
Lunch Break 13:00 ~ 14:00
Closed on Sundays and public holidays

This post was written directly by Wells Dermatology Clinic and complies with all laws regarding medical advertising other than Article 56, Paragraph 1 of the Medical Service Act.

Since all surgeries and procedures may involve side effects depending on the individual, please receive sufficient guidance from the medical staff and carefully decide whether to proceed with the procedure.

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