
Why is it better to do Ultherapy and fitting lifting together? <Ulthera Prime Fit>
Hello.
I’m Choi Won-woo, a dermatologist with 23 years of experience.
In consultations in the clinic, I often hear comments like these.
“Wouldn’t Ultherapy alone be enough?”
“Would it be better to get other procedures at the same time?”
These are completely understandable concerns.
But if you look a little more closely at facial aging in practice, you’ll see that it is not as simple as it seems.
It is not just a matter of reduced elasticity,
but rather because these three changes happen at the same time:
The supporting structure of the skin loosens,
fat shifts downward,
and the skin itself loses density and elasticity.
That is why, when you look in the mirror, you get the feeling that your face has “sagged overall.”

Because these changes progress across multiple layers, when considering a procedure,
it is important to think less about “which device is good”
and more about “which layer should be improved, and how?”
Since each device acts at different depths and in different ways, it is difficult for a single procedure to improve every layer.
That is why at Wells Dermatology, we help design Ultherapy Prime and fitting lifting together as “Ulthera Prime Fit.”
Today, I’ll explain in a little more detail why this combination is needed and what difference it actually makes.
- Ulthera Prime first rebuilds the “collapsed structure.”
The starting point of lifting is not the surface, but the “structure.”
Ulthera Prime is a procedure that targets the deep SMAS layer of the skin using high-intensity focused ultrasound (HIFU).

The SMAS layer connects the skin and muscles and acts like a kind of “pillar” that supports the shape of the face.
When we are young, this structure remains firm, but over time it gradually loosens.
As a result, you begin to see changes such as:
A blurred jawline
Cheeks dropping downward
The overall facial contour collapsing

Ulthera Prime accurately delivers energy to this deep layer, helping the loosened structure contract and restoring its support.
You can think of it as rebuilding a collapsed framework.
So yes, you can certainly feel a lifting effect with Ultherapy alone.
However, there is one limitation here.
- Fitting lifting is responsible for organizing the “fit.”
Even if the structure is corrected, the outer surface is not necessarily perfectly refined as well.
In reality, even if the structure is lifted, if the skin and fat layer remain unchanged, the result may look only like a “slightly neatened” appearance.
That is where fitting lifting is needed.
Fitting lifting is a procedure that uses microwave energy and acts mainly on the fat layer and dermis.

The changes that can be expected from this process are:
Reduction of unnecessary fat
Skin tightening
Improved skin adherence
To explain it more simply,
if Ultherapy’s role is to set up the pillars, fitting lifting is the process of making the skin above them fit closely to the framework and tidying it up.
As a result, you can expect a sharper jawline and skin that looks smoother and more refined.
In practice, this difference in “adherence” and “fit” often has a major impact on the before-and-after impression.
- Ulthera Prime Fit is all about “layer-by-layer planning.”
So why are these two procedures performed together?
The reason is simple.
Because aging does not happen in only one layer.

Broadly speaking, the face is made up of multiple layers:
Skin surface
Dermis
Fat layer
SMAS layer
Aging progresses simultaneously across all of these layers.
Therefore, if you try to solve everything with only one procedure,
even if one area improves, there may still be something lacking in the overall balance.

That is why Ulthera Prime Fit approaches the face with a “layer-by-layer planning” method:
First, Ulthera Prime organizes the deep layer (SMAS)
Then fitting lifting makes the layers above it adhere more closely
If Ultherapy is the process of defining the overall framework of the contour,
then fitting lifting is the process of refining the surface on top of that framework to improve the final result.
When these two work together, the result is not just a strong pulling sensation, but a face that looks “neatly refined and clean.”
In practice, there are many cases where planning the two procedures together leads to greater naturalness and satisfaction than receiving them separately.
In closing,
Lifting is not a procedure decided by the name of a single device.
Even with the same Ultherapy, the direction and completeness of the result can vary depending on how each layer is planned and treated.

Ulthera Prime Fit is not simply performing two procedures together,
but rather a layer-by-layer procedure designed with both facial structure and skin condition in mind.
That is why this flow—first correcting the structure and then refining the surface to improve completeness—is important.
If you are considering lifting,
I recommend thinking first about “how to plan it,” rather than just “what to do.”
I hope this article was at least a little helpful in setting that standard.^^
Thank you for reading this long post.
This has been Choi Won-woo, CEO and head dermatologist at Wells Dermatology.
[Recommended reading]
Best 1. Introduction
Best 2. If you’d like a detailed explanation of fitting lifting?
Best 3. Second-generation Ultherapy, Ulthera Prime, and how it differs from the existing version
| Wells Dermatology main phone number (click the number below to connect) |
|---|
| 02 - 542 - 2372 |
| Clinic hours |
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| 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 it complies with all regulations concerning medical advertising under Article 56, Paragraph 1 of the Medical Service Act, as well as other relevant laws.
All surgeries and procedures may be accompanied by side effects depending on the individual, so please make a careful decision about whether to undergo a procedure after receiving sufficient consultation and guidance from medical staff.