Hello. I’m Dr. Jo Wonjin, and I have been seeing patients for 10 years.

Doctor, which is more effective: getting 300 Thermage shots twice, or 600 shots all at once?
Many people are curious about this, so I prepared this post.
Under the topic of three ways to improve the effect of Thermage in Hapjeong,
I’ll explain how to decide on the appropriate number of shots,
what the realistic effects of Thermage are, and which anesthesia option may be better.
If you understand today’s content well, you won’t waste money carelessly while getting Thermage.
Table of Contents
- Have the treatment with effective shots in mind
- Lower your expectations
- Why it is advantageous to receive it without sleep anesthesia
Hapjeong Thermage
- Have the treatment with effective shots in mind
Which is more effective, 300 shots twice or 600 shots once?
To get straight to the point, receiving 600 shots properly in one session is much more economical and effective.
The reason is the efficiency of heat accumulation.
Thermage works by using radiofrequency energy to raise the temperature of the dermis and induce collagen regeneration.
The important thing here is that the first approximately 150 shots are used to raise the skin temperature to the target level.
Thermage device, tip, and certificate
When receiving 300 shots:
After using 150 shots for warming up, only about 150 shots remain as “effective shots” that actually contribute intensively to collagen regeneration.
Even if you have the treatment twice, the total number of effective shots is 300.
When receiving 600 shots:
Even if 150 shots are used for warming up, the remaining 450 shots fully act as effective shots.
Even if the total number of shots is the same at 600, the actual effective energy can differ by 150%.
If you want the best cost-effectiveness, it is better to think in terms of effective shots and receive 600 shots in one session.

Hapjeong Thermage
2. Lower your expectations
It may sound ironic, but the best way to increase satisfaction with Thermage is
to calmly determine whether the issue you are concerned about can actually be solved with Thermage.
Thermage is a procedure specialized in tightening the skin itself, rather than a lifting treatment that “pulls” the skin upward.
It is effective for skin that is thin and has fine wrinkles, as shown in the photo
When Thermage is suitable:
Fine wrinkles caused by thinning skin, lax elasticity, and improvement of dull, rough skin texture.
When other procedures are needed:
If the skin has sagged because of a lot of fat, like jowls (bulldog cheeks), or if you have deep nasolabial folds, Ulthera or thread lifting may be more appropriate.
The above is a very simplified explanation, so the procedure actually needed will naturally differ depending on your face and concerns.

If everyone says it is good and you endure the pain to get it, only to spend the money and see no effect, how disappointing would that be?
Through in-depth consultation with the medical staff, you should first confirm whether Thermage is the optimal solution for your skin concerns.
There are plenty of procedures that are suitable for you, involve less pain, and still offer decent results.

Hapjeong Thermage
3. Why it is advantageous to receive it without sleep anesthesia
Some people prefer sleep anesthesia out of fear of pain, but in terms of safety and effectiveness, treatment without sleep anesthesia is much more advantageous.
First, preventing burn risk and improving safety
While under sleep anesthesia, the patient cannot respond accurately to heat or pain.
If the tip does not adhere properly during the procedure or if excessive heat is delivered,
because the patient cannot provide feedback,
the risk of a burn accident can relatively increase.
And if you unconsciously feel heat and suddenly turn your head or move 크게,
shots may be delivered to the wrong area, increasing the risk.

Second, adjusting energy based on real-time responses
Thermage requires observing the patient’s heat response
and making fine adjustments to the energy by area for the best results.
When you are awake and communicating with the medical staff,
and exchanging feedback such as
“This area feels a little hotter.”
“This area is fine.”
you can deliver safe yet strong energy.

Then is stronger shot intensity always the best?
That is not necessarily the case either.
If you are more curious, please check the article below.
Third, whether emergency situations can be handled
When using sleep anesthesia, an anesthesiology specialist must always be present to check the patient’s breathing and condition.
Sleep anesthesia in an environment without an on-site doctor may make it difficult to respond to an emergency if one should occur.
Choosing a good clinic is always difficult.
Please refer to the article below; it may help reduce mistakes.
Summary for getting the best Thermage results
Let me summarize today’s points.
- Shot selection: Excluding the initial 150 warming-up shots, one session of 600 shots is more effective than two sessions of 300 shots
- Personalized diagnosis: Understand that Thermage is a tightening procedure, not a pulling lift
- Non-sleep treatment: Real-time feedback while awake helps reduce the risk of burns

Hapjeong Thermage is a procedure that requires many things to consider because of its cost burden.
Rather than simply looking for the cheapest place,
I hope you receive the procedure safely at a place with clear treatment standards and extensive accumulated know-how.
Thank you. This was Jo Wonjin.
<Related article on painless lifting>

