Jamsil Saenae Station Dermatology Clinic | Ulthermage vs. TenTherma for a Fading Jawline <Written by a Doctor>

I weigh exactly the same, but people keep asking if I’ve gained weight.

I keep raising the camera when taking photos.

When there’s lighting below me while I’m looking in the mirror, all I can do is sigh.

If any of these situations sound familiar, please read this article carefully. As someone who runs a dermatology clinic near Jamsil Saenae Station, I’ll explain where you should receive the Ulthermage and TenTherma combination that has become so popular recently.

If you’re planning to receive laser treatment at a dermatology clinic near Jamsil Saenae Station, you’ll be able to learn what criteria to use when making your choice. Since this article was written directly by a doctor, I believe it will be helpful.

Why the Ulthermage and TenTherma combination is so popular

There are two reasons skin ages: the outer and inner layers of the skin age together. Starting in the mid-30s, when aging begins, the elasticity of the visible outer surface and the fascia layer deep below that supports it begin to age at the same time.

If you undergo Ultherapy alone, the visible outer skin may remain dry and lax, making the lifting effect feel only half as effective.

Conversely, if you undergo only radiofrequency treatment such as TenTherma, the outer skin may temporarily feel firmer, but the underlying fascia layer is collapsing downward, making it difficult to achieve the feeling that the jawline is firmly attached to the bone.

This is why, in terms of treatment efficiency, many people prefer to combine these two treatments rather than receive them separately.

A complete comparison: Ulthermage vs. TenTherma

So, what treatment can restore elasticity to a blurred facial contour? The most powerful combination is high-intensity focused ultrasound (HIFU) and radiofrequency.

The two main options are Ulthermage and TenTherma.

• Ulthermage (Ultherapy + Thermage FLX)

A lifting treatment that combines genuine Ultherapy and Thermage FLX.

Advantages: Ultherapy strongly lifts the deep fascia layer to refine the jawline. Thermage tightens collagen in the dermal layer, completing the elasticity of the outer skin. It has the most extensive clinical data worldwide, and its effects generally last about one year.

Disadvantages: It is relatively costly, and the treatment can be painful enough that sedation may be considered.

• TenTherma (Ultherapy + TenTherma)

A cost-effective, trendy treatment that combines TenTherma, a premium Korean radiofrequency device, instead of the American-made Thermage.

Advantages: Compared with Thermage, its tip is wider, allowing energy to be delivered more evenly and quickly. Its built-in cooling system is effective, resulting in considerably less pain.

Disadvantages: Compared with original Thermage, it has relatively less long-term follow-up clinical data. Although satisfaction immediately after treatment is high, the duration of maintenance may feel somewhat shorter than that of the original treatment.

What to keep in mind when choosing a dermatology clinic near Jamsil Saenae Station

However, even a lifting treatment with these benefits is meaningless if it does not suit your facial shape.

For example, many East Asians have a facial shape in which the outer cheekbones protrude noticeably while the cheeks below them are deeply hollowed. This is because, with age, the soft fat around the cheekbones flows downward and the elasticity of the outer cheeks decreases.

This makes the outer cheekbones appear more prominent and creates a curved facial contour. In such cases, applying an ultrasound laser such as Ultherapy may worsen cheek hollowing and result in what is sometimes called a skeletal appearance. When this happens, the jawline can only be restored by reducing treatment in the outer cheeks, where there is little fat, and tightening only the sagging boundary area.

On the other hand, some facial shapes have fat concentrated around the lower cheeks and double chin. This occurs because the retaining ligaments—rope-like structures that once held the fat tightly in place deep within the skin—have loosened with age.

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The fat around the double chin and cheeks that had been resting above these structures then flows downward, causing the boundary between the jawline and neck to collapse and making the area appear saggy. In such cases, the jawline can be restored by creating thermal coagulation points in areas where fat has accumulated and tightening the tissue firmly.

Therefore, the best approach is to determine whether the dermatology clinic has a director who personally diagnoses each patient’s facial shape.

Expensive equipment is not everything

As you may have noticed above, no matter how advanced lifting equipment becomes, it is difficult to achieve a very good result if the dermatologist does not carefully analyze the patient’s facial shape.

In particular, the so-called “factory-style dermatology clinic” approach—having the patient lie on a bed and roughly aiming the device by eye—can easily lead to the “cheek hollowing” side effect that patients fear most. When lying down, gravity pulls the tissue backward, making it impossible to accurately determine where and how much the tissue has sagged.

This is what I consider proper design planning. It begins while the patient looks in the mirror with their bare face, just as it is after washing their face themselves. While the patient is standing, I directly feel the face with my hands and distinguish areas lacking volume from sagging areas with my fingertips.

I draw detailed guide lines directly on the face, as if measuring it with a ruler, and determine where to apply the treatment. The design must be planned so that “areas with little fat are avoided completely, while the sagging lower cheeks and double chin here are treated densely with higher energy,” because this is how the results can resemble the original plan.

These details—carefully determining even a single millimeter of the treatment lines—can lead to reviews saying that the “jawline has become firmly defined,” so I proceed with considerable care.

This is also why, even if it takes time, I make sure to spend sufficient time personally conducting each dermatology consultation.

If you are planning to receive Ulthermage or TenTherma at a dermatology clinic near Jamsil Saenae Station, I believe you now have a better idea of what kind of clinic to choose.

Please feel free to leave an inquiry at any time.

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Main number: 02-420-8883