
Have you ever sighed after suddenly noticing that your facial contours look different from how they used to when looking in the mirror? These changes naturally come with the passage of time, but it is true that they are not easy to accept when they happen to your own face. Those interested in skin care may have heard of two treatments at least once: Ulthera and Thermage. Today, I will explain in a very simple way what kind of synergy these two treatments can create when combined, comparing it to the process of building a house.
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Why the skin sags and loses firmness
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Ulthera: Straightening the building’s pillars
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Thermage: Pulling the wallpaper taut
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Changes to expect when the two are combined
Why the skin sags and loses firmness

Our skin is woven together like a very sturdy mesh. However, as time passes and it continues to be affected by gravity, this mesh gradually begins to loosen. It is similar to an old bed spring losing its strength and sinking down.
Deep within the skin, the membrane surrounding the muscles becomes stretched, while collagen decreases at the surface, causing fine lines to appear and the soft tissue to shift downward. To address this, many people seek help at dermatology clinics in Cheongdam, and the treatment most often mentioned in this context is the Ulthermage effect.
Ulthera: Straightening the building’s pillars

Let us imagine that we are thoroughly remodeling a house. What should we do first? We should reinforce the pillars and framework that support the house. Ulthera targets the fascial layer, a deep layer of the skin that serves this very role.
It uses ultrasound energy to coagulate and contract the loosened fascial layer. This is similar to how a stretched rubber band shrinks and becomes taut again when exposed to heat. By lifting sagging tissue upward from the deepest layer of the skin, it may help refine the overall contours of the face.
Thermage: Ironing the wallpaper taut

Once the framework has been strengthened, it is time to improve the exterior appearance. Thermage stimulates the dermal layer of the skin using radiofrequency heat energy. Just as ironing a wrinkled shirt smooths out the wrinkles and makes the fabric sleek, it helps make the skin feel firmer and more resilient.
This process encourages the production of new collagen, which may help tighten pores, improve fine lines, and smooth the skin’s texture. It may be easiest to understand this as a process that fills out the density of loose, slack skin.
Changes to expect when the two are combined

Each treatment can be beneficial on its own, but when the two are performed together, we can expect a more three-dimensional result. Ulthera lifts sagging tissue from within and defines the contours, while Thermage tightens the skin from the outside. By managing both the inner and outer layers at the same time, the aim is to improve firmness comprehensively. This is the key point of the Ulthermage effect that many people are curious about.
However, because skin thickness, the amount of fat, and the degree of sagging vary from person to person, receiving the treatments at maximum intensity is not always the right answer. It is most important to carefully design the treatment by adjusting the number of shots and intensity to suit each individual. When a thorough assessment is combined with appropriate treatment, you can move one step closer to the healthy, beautiful skin you envision. At the Cheongdam dermatology clinic, we continually research and work to help you discover your natural beauty.
This post was
directly written by 라리안청담의원
for informational purposes
in compliance with Article 56 of the Medical Service Act
and the Enforcement Decree of the same Act.
All procedures and surgeries may result in
adverse reactions,
so please receive treatment
after having a sufficient consultation with medical professionals.
Director Kang Ji-yeon of 라리안청담의원