Hello, I’m Dr. Jo Won-jin, and I’ve been seeing patients for 10 years.

I got Ulthera done wrong,
and my cheeks hollowed out and never came back
They say it hurts so much you can’t get it unless you use sleep anesthesia.
Is that really true?
I get asked these kinds of questions a lot in the clinic.
Some people come in with high expectations, only to feel upset because the results didn’t turn out well.
Today, under the topic of criteria for choosing a good Ulthera clinic in Hongdae,
I’ll clearly explain the fundamental reasons why Ulthera procedures fail and the criteria for choosing a clinic to help prevent that.
After reading this, you’ll be better able to tell a good clinic from a bad one.
Table of Contents
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Why Ulthera lifting fails
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Criteria for choosing a good Ulthera clinic in Hongdae
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Frequently Asked Questions (FAQ)
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Key summary of a good Ulthera clinic
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Why Ulthera lifting fails
Ulthera delivers ultrasound energy to the SMAS layer, the fascia deep in the skin, causing the fascia to contract.
If the fascia contracts, the fat and skin layers attached to it will contract as well.
That is how lifting happens.
Because the effect is so clear, there are also definite precautions to keep in mind.
The side effect people fear most, such as hollowed cheeks, usually happens because skin thickness, fat position, and the amount of fat are not taken into consideration.

The amount of fat and the depth of the fascia layer differ by area of the face.
Especially in areas where the amount of fat matters, such as the side cheeks or temples, what happens if strong ultrasound energy is applied indiscriminately?
Even the fat cells that are actually needed shrink, making the face look gaunt.
Trying to pull too hard out of greed can end up doing more harm than good.

- Criteria for choosing a good Ulthera clinic in Hongdae
When you actually visit a clinic and consult with the director, make sure to check whether they specifically explain the following three things.
- Do they accurately diagnose whether Ulthera can solve my concern?
Ulthera is excellent for strongly tightening sagging, stretched tissue, but it is not a cure-all.
If the reason the face looks saggy is that facial volume has been lost and only the skin surface has loosened, Ulthera will not lift it back up.
In fact, it may reduce facial volume even more.
In that case, a treatment that generates collagen, such as Juvelook Volume or Sculptra, may be much more necessary.
Rather than simply proceeding with a procedure because you want it,
meeting medical staff who objectively judge whether Ulthera is truly needed for your current facial condition is
the surest way to avoid wasting money.
You may understand this more easily if you refer to the post below.
- Do they point out the areas where shots should be avoided first?
During the consultation, they should feel your face and examine it from all angles,
and say something like, “There is no fat below the outer cheekbone and above the nasolabial fold, so Ulthera must never be used in this area.
Instead, it seems best to focus on the jawline where the fat has loosened,”
and accurately identify the targets that should be excluded from treatment.
Hollow-cheek side effects usually happen when this process is skipped.

- Do they finely adjust the shot count, tip type, and energy level to fit me?
During consultations, some people say, “Please do 300 shots,” or
“Please use the strongest setting.”
When performing Ulthera, the key factors medical staff can adjust for each patient are exactly three.
These are the number of shots, the tip type (depth), and the energy level.

The thickness of the skin and the amount of fat vary from one area of the face to another.
That is why these three factors must be set for your face
with as much detail as possible for the results to be completely different.
So it is also good to see whether the clinic gives a detailed briefing on the procedure plan tailored to your face.

- Frequently Asked Questions (FAQ)
Q. Is more shots always better?
A. No. If too many shots are used on people with a small facial area or thin skin,
it can instead strain the tissue and cause burns, swelling, or hollow cheeks.
A good Ulthera clinic in Hongdae does not simply recommend a large number of shots;
the important thing is setting an appropriate shot count based on your skin condition and degree of sagging.

Q. Does it hurt so much that sleep anesthesia is absolutely necessary?
A. Because the energy reaches deep into the skin, it is true that there can be a dull pain that feels like being struck against the bone.
However, rather than forcing sleep anesthesia, it is better to carefully combine topical anesthesia and nerve blocks.
If the energy level is finely adjusted while monitoring facial expressions and pain sensitivity in real time,
you can get the treatment sufficiently without sleep anesthesia.

- Key summary of a good Ulthera clinic
So far, I’ve organized the information you should know before getting Ulthera at a good clinic in Hongdae.
- Reason for failure: Uniform ultrasound energy delivery that ignores individual fat volume and skin thickness can cause hollow cheeks
- Selection criteria: A clinic that judges whether your face will benefit during consultation, designs the areas to avoid, and explains specific tip and energy plans by area
- Appropriate shot count: Rather than simply using a large amount, a conservative and delicate design tailored to the anatomical structure of your face is far more important

If you undergo treatment without considering the characteristics of your face,
you may later have to bear greater financial and emotional burdens to restore fat that has once shrunk.
Rather than being swayed by seemingly low-priced promotional event rates,
I hope you can become beautifully improved safely at a place that can accurately evaluate your skin.
Just reading the article below before choosing a clinic may help you avoid making the wrong decision.
Thank you. This was Dr. Jo Won-jin.

