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Lifton Dermatology Clinic Seoul - Lifting & Anti-aging Specialist / 리프톤 피부과의원 · 리프톤피부과의원 공식 블로그 · November 6, 2023
If You're Worried About Ulthera Pain 0 Hello. I’m Moon Sung-hoon, the chief director of Lepton Dermatology, which will soon open near Sinsa Station. 0 0 Until now, Chief Directo...
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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: Lifton Dermatology Clinic Seoul - Lifting & Anti-aging Specialist / 리프톤 피부과의원
Original post date: November 6, 2023
Translated at: April 25, 2026 at 6:39 AM
Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.
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Hello. I’m Moon Sung-hoon, the chief director of Lepton Dermatology, which will soon open near Sinsa Station.
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Until now, Chief Director Jeon Jae-wook and I have been taking turns writing the blog.^^
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It just so happens that it’s my turn now, so I wanted to greet you first.
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The time when we get to meet you is truly not far away now.
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Lepton will sincerely help ease even your smallest concerns and questions.
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Today, I’d like to write about Ulthera pain, which many people have been curious about.
Ulthera didn’t hurt at all vs. I thought I was going to die
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Looking at reviews, some people say it didn’t hurt at all, while others say it hurt so much they couldn’t stop crying.
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Which one is true? I’ll explain right away.
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Ulthera principle
Once you understand how Ulthera works, you can understand why it hurts.
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Ulthera uses a laser to deliver thermal energy from the fat layer to the fascia layer deep within the skin.
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The thermal energy delivered this way creates multiple thermal coagulation points, which then induce skin contraction around them.
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In particular, the fascia layer (the SMAS layer) has a concentrated distribution of nerves and blood vessels.
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Because high thermal energy of around 60 degrees is delivered to this layer as the target, it causes pain.
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It would be hard not to feel pain when high thermal energy is sent to an area with many nerves and blood vessels.
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Especially due to Ulthera’s principle, thousands of coagulation points are formed through multiple passes.
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(If it is said to be 600 shots of Ulthera, since each shot contains more than 10 coagulation points, more than 6,000 coagulation points are created.)
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Compared with Thermage?
Many people ask me to compare how painful it is with Thermage.
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In fact, it is difficult to compare.
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That is because Thermage targets the dermal layer of the skin, and its principle is different from Ulthera’s.
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With Thermage, the pain feels hot and stinging, like a burn.
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With Ulthera, it may be easier to think of it as a deeper, duller pain, similar to nerve pain.
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Anesthesia methods?
There are several methods used to reduce pain.
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First is local anesthesia using an anesthetic cream, which numbs the skin surface.
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However, with Ulthera, since the pain arises deep within the skin, it may not be very helpful.
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Anesthesia via nerve block is also performed by injecting anesthetic directly into the face.
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However, because the face may not be evenly numbed, there may be areas where pain is still felt.
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There is also the widely known sleep anesthesia.
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I wrote about Ulthera sleep anesthesia in detail in a previous post, so please check the post below.
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These days, gas anesthesia is also widely used.
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Gas anesthesia is a method that reduces pain without losing consciousness.
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However, you will still feel more pain than with sleep anesthesia.
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Choosing an anesthesia method?
Anesthesia should be applied differently for each person.
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At our Lepton clinic, we plan to use an anesthesia method suited to each person’s condition.
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For example, for those who are concerned about sleep anesthesia, we recommend gas anesthesia.
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In addition, we can use an anesthetic cream together to make up for the shortcomings of gas anesthesia.
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As such, the anesthesia needed for each person is bound to be different.
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If you have decided to get Ulthera, I recommend carefully checking whether they sufficiently consult with you and suggest an anesthesia method that suits you.
Closing remarks
People ask whether Ulthera has to hurt in order to work well.
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The answer is half yes and half no.
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As with any method, there are individual differences in how much pain Ulthera causes.
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However, I think I should say that for most people, it is bound to be painful.
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However, there is one more important point.
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That is the practitioner’s level of experience.
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This is because experience helps determine how to make the procedure less painful for the patient.
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If you want Ulthera but are afraid of the pain, choosing a place with extensive experience can be a good option.
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This has been Lepton.
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