As we age, skin elasticity declines
and the jawline starts to sag.
This is a natural phenomenon,
but facing it
can be quite upsetting.
In particular, people who are preparing for an important gathering or photo shoot and are looking for treatment in a hurry often visit Cheongdam dermatology clinics.
They often ask,
Is Ulthera better,
or is Thermage better?
However, these days, rather than worrying about the two separately, the trend is toward combination treatments that create synergy by combining the advantages of both procedures.

Today, I will carefully explain why this combination, often called Ulthermaji, is popular, and what points you should be careful about.
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How are the roles of Ulthera and Thermage different?
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Synergistic effects when the two are done together
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The truth about pain and recovery time
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Criteria for choosing a clinic without failure
How are the roles of Ulthera and Thermage different?
| Ulthera |
|---|
| Uses high-intensity focused ultrasound (HIFU) to deliver energy to the SMAS layer, the deepest part of the skin |
| Lifting role that contracts sagging tissue and pulls it upward |
| Thermage |
| Uses radiofrequency (RF) energy to apply heat to the dermis and induce collagen production |
| Tightening effect that firms loose skin |
In other words, Ulthera’s role is to lift, while Thermage’s role is to tighten, so the skin layers they target and their purposes are different.
Synergistic effects when the two are done together
The reason many people consider getting both procedures at the same time is that aging does not occur in just one layer of the skin.
As we age, the SMAS layer loses strength and sags, and collagen in the dermis decreases, leading to complex changes such as thinner, looser skin.
At this point, rather than insisting on just one device, using both together can bring results that improve both the surface and the deeper layers of the skin at the same time.

In practice, a customized design in which Ulthera is used to define the contours of areas with fuller cheeks and thicker skin, while Thermage is used to restore firmness to areas with thin skin and fine lines such as around the eyes and mouth, tends to help patients achieve the results they want.
This is because it can help create a firmer line while reducing overall loss of facial volume.
The truth about pain and recovery time
If you do the two together,
won’t it hurt?
This is probably the biggest concern. The level of pain varies greatly from person to person, but recently discomfort has been reduced a lot thanks to improvements in the technology of the devices themselves and accumulated expertise.
If you are sensitive to pain, many people receive the procedure comfortably with sedation or a thorough local anesthesia system.
In fact, if you have the two procedures done on different days, you have the inconvenience of visiting the clinic twice and going through the recovery process twice.
When the procedures are done at the same time, there may be slight redness or swelling immediately afterward, but in most cases it settles within a few days, making it relatively easy to return to daily life. This is why busy office workers also often choose to have it done on the weekend.
Criteria for choosing without failure
Even if the same Ulthera and Thermage tips are used,
that does not mean
that the results will all be the same.
Just because the same Ulthera and Thermage tips are used does not mean the results will all be the same.

This is because each person’s face shape, skin thickness, speed of aging, and fat distribution are all different.
Therefore, it is not simply that more shots are better; what matters is the ability to create a custom design that accurately understands the condition of your face and distributes the appropriate energy to the necessary areas.
In particular, since this is a procedure that handles two powerful energies, receiving treatment from skilled medical staff with extensive anatomical knowledge and clinical experience is the way to reduce the risk of inappropriate reactions such as hollowing in the cheeks or burns.
Because aging is an ongoing process, rather than expecting results from a single procedure, consistently managing your skin according to the right cycle for you is the secret to maintaining healthy and beautiful skin.
Through the careful diagnosis of Cheongdam dermatology clinic, we will help you regain confidence in your skin.
This post was
written directly by Larian Cheongdam Clinic
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 cause inappropriate reactions,
so please receive treatment only after sufficient consultation
with the medical staff.
Director Kang Ji-yeon, Larian Cheongdam Clinic