Hello. I am Dr. Jo Won-jin, and I have been seeing patients for 10 years.

Can Ulthera Prime still be effective
with only 300 shots?
The original Ulthera was too painful.
Will this one be okay?
To give you the answer first: there are definitely cases where 300 shots are enough to be effective.
And the upgraded version causes less pain than the existing device.
Many of you may be considering Ulthera lifting but feel stuck trying to decide how many shots you need because of the cost and the pain.
Today, under the topic of Is 300 Shots of Ulthera Prime Enough? Effect and Pain,
I’ll talk about the features of the new device and how to find the right number of shots for your face.
If you can spare just 3 minutes and read to the end of today’s post, you should be able to avoid being disappointed by having too few shots.

Table of contents
-
Causes of facial sagging
-
Effects of 300 shots of Ulthera Prime
-
Why 300 shots may be insufficient
-
Pain during Ulthera Prime treatment
-
Key takeaways on Ulthera Prime
- Causes of facial sagging
As we age, collagen and elastic fibers in the skin decrease under the influence of gravity.
At this time, it is not only the outer skin that stretches; the deep fascial layer (SMAS), which firmly supports the skin, also begins to loosen.
As a result, the overall facial contour changes and sagging occurs.
If the fascial layer, which forms the foundation of the face, is not tightened again, the skin on the surface will quickly sag again no matter how much you pull it.

- Effects of 300 shots of Ulthera Prime
Ulthera is a device that delivers high-intensity focused ultrasound energy to this deep fascial layer to make it contract and stimulate collagen regeneration.
The new version, Ulthera Prime, has been upgraded to deliver energy to the fascial layer more precisely.
In particular, 300 shots is an effective amount when you want to focus on improving specific areas such as the jawline or jowls.
If there is no major sagging and you just want to address a particular area, it is a good option to try.

- Why 300 shots may be insufficient
If you ask, “Then is 300 shots enough for everyone?” the answer is no.
Of course, if the sagging is not severe and you want a light refinement, 300 shots can still produce excellent results.
In particular, people in their 20s to early 30s may see good improvement even with a smaller number of shots.
However, the principle of Ulthera is that the face needs to warm up first before the shots can be effective.
So the initial shots are basically used for preheating.
That means the number of shots that actually create improvement becomes smaller than the total.

Therefore, if you need overall improvement of the nasolabial folds, jawline, and double chin,
or if you have a fuller face and more advanced sagging,
300 shots will be far from enough.
The energy ends up being lightly distributed across the whole face, which can only lead to disappointing results.
For people like this, I recommend receiving at least 600 shots to clearly define the facial contour.
Because the dosage must be distributed differently depending on the asymmetry and degree of sagging on both sides of the face,
it is important to design the treatment precisely with a sufficient number of shots.
I wrote more details about improving nasolabial folds and jowls in the post below.
- Pain during Ulthera Prime treatment
In terms of pain, it has improved compared with the existing device.
Previously, energy was delivered in a somewhat more scattered and broader way, which could cause unnecessary damage,
but the upgraded device delivers the shots more concentrically.
There are also study results showing that pain and swelling were reduced in people who actually underwent the procedure.
Comparison paper on pain and effectiveness between the existing device and the Prime device
Q. Even so, is it okay without sleep anesthesia?
A. It varies depending on individual sensitivity, but because the way the energy reaches the tissue has improved, the pain burden is lower than before.
Many people receive it with only topical numbing cream,
but if you are very afraid of pain, rather than sleep anesthesia, which can carry risks of burns and sunken cheeks,
it may be better to try an alternative treatment with less pain, such as Thermage FLX or Shurink.

No matter how good the device is, the key is ultimately to accurately diagnose the degree of sagging in your face and make a detailed plan.
It is also a good idea to choose a reputable clinic by reading the post below.
- Key takeaways on Ulthera Prime
- Ulthera Prime works by precisely targeting the deep fascial layer of the skin to regenerate collagen
- 300 shots are effective for localized areas without severe sagging, but if overall facial improvement is needed or if fullness and sagging are severe, 600 shots or more may be necessary
- Because the energy is delivered more concentrically, the treatment is less painful than before

If you are wondering whether 300 shots of Ulthera Prime will be enough for your face and whether you can get the results you want, I hope you receive it at a place that properly diagnoses you first.
Thank you. This was Jo Won-jin.

