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Ulthera vs Thermage: Differences and Effects

강남이지함피부과 Leejiham Dermatology Clinic Gangnam · 강남이지함피부과 · April 14, 2026

[Dermatology Specialist Lee Yudeuk] To those considering lifting, This is Ezham Dermatology Clinic. ​ I am the director in charge of treatment here. As I meet a wide range of patie...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: 강남이지함피부과 Leejiham Dermatology Clinic Gangnam

Original post date: April 14, 2026

Translated at: April 19, 2026 at 1:34 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

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[Dermatology Specialist Lee Yudeuk]

To those considering lifting,

This is Ezham Dermatology Clinic.

I am the director in charge of treatment here. As I meet a wide range of patients in the clinic every day, there is one question I hear most often before lifting procedures.

"Doctor, what is the difference between Ulthera and Thermage?" This question carries more than simple curiosity. It is also a question woven together with time spent worrying in front of the mirror, along with vague hopes and concerns.

Today, with the topic of comparing the differences between Ulthera and Thermage, I will explain step by step how the two methods differ. If you are wondering which option is more suitable for you, I hope this article is of some help.

A story told directly by the director

Concerns in the moments when you stop in front of the mirror

The reasons people start thinking about lifting

vary from person to person,

but there are moments

many people experience in common.

It may be when you start avoiding photos,

or when your jawline looks less defined

and sagging in the cheeks becomes

noticeable when you look in the mirror.

When you actually try to look into it,

the amount of information online can be so overwhelming

that it only makes things more confusing.

You may hear that Ulthera is good,

or that Thermage is better,

so it can feel unclear

what standard to use when deciding.

In the flood of information,

finding the answer that truly suits your skin

is not easy.

That is why, before asking which method

is more effective,

it helps to first understand how

each method works.

Once you understand the principle,

the choice becomes

a little clearer.

Ulthera vs Thermage: Differences and Effects image 2

Ultrasound and radiofrequency: the type of energy is different

In comparing the differences between Ulthera and Thermage,

the first thing to look at is

the type of energy each method uses.

Ulthera is based on HIFU,

that is, high-intensity focused ultrasound technology.

It works by precisely concentrating

ultrasound energy at a specific depth within the skin

to create thermal coagulation points.

It is similar to the principle of using a magnifying glass

to gather sunlight and focus it on one point,

and it can deliver energy down to the SMAS layer,

that is, the fascial layer,

while minimizing effects on the skin surface,

which may help bring positive changes

to sagging.

At Ezham Dermatology Clinic,

we have ultrasound lifting devices such as

Doublelo Gold, Shurink, and Vero,

and each device differs slightly in

how it delivers energy and the depth it reaches.

Thermage uses radiofrequency,

RF (radio wave) energy.

It evenly delivers thermal energy

over the skin as a whole,

contracting collagen fibers and

inducing new collagen production.

Like warm heat spreading evenly

through a sponge that has absorbed water,

Thermage can provide a tightening effect

across the entire skin layer.

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How are the lifting effects and duration different?

In comparing the differences between Ulthera and Thermage,

the lifting effect and duration

are also important points.

Because Ulthera-type methods

deliver energy down to the SMAS layer,

they may be worth considering for people who feel

clear sagging, such as cheek sagging or

a blurred jawline.

Noticeable changes may appear

between 4 and 12 weeks after treatment,

and as collagen is produced,

many cases lead to gradual positive changes.

In general, the effect tends to last

for about 6 months to 1 year.

Thermage is strong in promoting collagen production

and tightening the skin.

It may be a better fit for people who are more concerned about

loss of elasticity,

changes in skin texture,

or an overall decrease in fullness,

rather than sagging.

Since both methods involve a process in which

improvement comes gradually over time

rather than through an immediate dramatic change,

they are well suited for people who want to

take their time caring for their skin.

Also, because both methods often lead to better results

when maintained at regular intervals,

it is ideal to keep an eye on your skin condition

every 6 months to 1 year.

Ulthera vs Thermage: Differences and Effects image 4

How do you find the direction that suits your skin?

When choosing a direction,

your skin condition and main concerns

become the 기준.

If sagging is your main concern,

an ultrasound-based Ulthera-type method

may be considered; if reduced elasticity and

skin texture are the main concerns,

Thermage may be considered.

Of course, there are also cases

where both are applied together.

The deeper layer is stimulated with ultrasound,

and collagen production throughout the skin layers

is complemented with radiofrequency.

This is sometimes called "Ulthermage,"

and depending on the skin condition,

using both approaches together can

lead to more balanced results.

Whether to apply both methods together

should be decided after examining the skin condition

during the consultation.

At Ezham Dermatology Clinic, during consultations,

we examine the skin of the visitor directly and

check the sagging areas, elasticity, and skin thickness

together before guiding them toward the most suitable direction.

Rather than asking which method is more famous,

our approach is to first ask what this skin needs now.

Ulthera vs Thermage: Differences and Effects image 5

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Why daily care matters after lifting

If you have understood the characteristics of each method

through comparing the differences between Ulthera and Thermage,

aftercare is just as important.

No matter which lifting method you receive,

it is best to avoid strong-heat environments

such as saunas or Korean-style steam rooms for about 1 week.

Sun protection is also something

that should not be missed.

During the collagen production process,

if you are exposed to a lot of ultraviolet light,

the effect may not appear sufficiently,

and there is also the possibility of pigmentation

appearing.

Please continue using sunscreen with SPF 50 or higher.

It is also good to maintain adequate water intake

and skin hydration.

When the skin is dry,

loss of elasticity can progress more rapidly.

Regular sleep and balanced eating habits

also support skin condition.

A lifting method creates an opportunity for change

in the skin,

and what fills in after that are the small choices

made in daily life.

Ulthera vs Thermage: Differences and Effects image 7

We will work with you honestly and comfortably

The treatment philosophy of Ezham Dermatology Clinic

is "a comfortable face rather than excessive change."

When choosing lifting, I do not think that stronger and deeper

is always better.

We first look at what this skin currently needs,

as well as the recovery capacity and lifestyle

of the person who visited the clinic.

With honest treatment and proven methods,

we want to become a place you can trust

for a long time, not just once.

The one message I want to give to those who ask

about the differences between Ulthera and Thermage is this.

Do not choose something simply because it is widely known.

At a place that can first listen to your skin's story,

please receive enough explanation

and make your decision slowly.

So that your current concerns can lead to a comfortable choice,

Ezham Dermatology Clinic will continue to provide honest and sincere

treatment without change.

We will remain a space where you can comfortably talk

whenever you have questions about your skin.

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