The Number of Ultherapy Shots That’s Right for Me, Explained by an Ultherapy Key Doctor

Hello. This is Lifton Dermatology at Sinsa Station.

There is a question that people always ask when they decide to undergo Ultherapy.

How many shots do I need?

It depends on the treatment area, but when looking at the lower face, including the double chin, it can be as few as 400 shots and as many as 800 shots. If the forehead or eye Ultherapy is included, or if the neck is included as well, the number will increase further.

In one Ultherapy shot, about 13 thermal points are made within the skin. If you do 100 shots, about 1,300 thermal points will be made. Each thermal point destroys the surrounding collagen and stimulates it to grow back, producing the treatment effect.

In the end, my role is to create thermal points on the face. However, if you simply place thermal points evenly, the treatment effect may be minimal. We need to place more thermal points in the areas we are targeting and apply them in the proper locations.

This needs to be considered in three dimensions.

Even if thermal points are placed on the same area, they can be placed deeply or superficially. That is why Ultherapy tips come in three types: 4.5, 3.0, and 1.5. Also, even when treatment is done using only the 4.5 tip, the depth of the thermal points can be adjusted depending on the pressure applied. This is because the SMAS layer is not simply a single layer.

For areas we most want to treat, such as jowls, cheek fat, and the jawline, the highest number of shots is used. These areas not only feel heavier, but they are generally the areas where sagging is felt most severely, so many shots are delivered by mixing the 4.5 tip and the 3.0 tip. Therefore, even if 800 shots are done across the whole face, 300 to 400 shots may be used just on the jawline. Doing so increases the treatment effect.

In addition, the importance of the 1.5 tip has recently been emphasized. If, on top of the existing method, 100 to 200 shots are delivered using only the 1.5 tip to stimulate the dermis across the entire face, you can feel treatment effects not only for sagging but also for pores and fine wrinkles. That is why this is also separately called elasticity Ultherapy. If you do not have immediate plans to get Thermage, but still want tightening along with Ultherapy, I recommend it.