Mok-dong Ulthermage: Is It Okay to Get the Two Procedures Together?

Hello. I am Lim Young-soo, chief director of Troy Plastic Surgery Clinic.

“Which is better, Ulthera or Thermage?”

“Both are said to be effective, but wouldn’t it be worse to get them together?”

“How should I choose a clinic in Mok-dong that does Ulthera or Thermage well?”

These days, many people are searching for ‘Ulthermage’ (Ulthera + Thermage) at the same time.

Ulthera Thermage Ulthermage

Most people are looking for a non-surgical way to improve facial sagging, firmness, and wrinkles at the same time.

Today, from the perspective of a dermatologist and plastic surgeon, I will share information that will help those considering Ulthera and Thermage separately or together understand their options clearly and make a choice.

1. Ulthera and Thermage fundamentally act on different layers

2. So, can Ulthermage be done together?

3. Ulthermage combination is especially recommended for these people

4. “Will one treatment be enough?” A realistic duration of results

5. Things you must check before Ulthera and Thermage treatment

6. What matters more than cost is the treatment plan

7. Be sure to remember this when combining Ulthermage

Ulthera Thermage Ulthermage

1. Ulthera and Thermage fundamentally act on different layers

Category	Ulthera	Thermage FLX
Energy principle	High-intensity focused ultrasound (HIFU)	Radiofrequency (RF)
Target layer	SMAS layer (fascia layer, deep layer)	Dermis (just below the epidermis)
Main effects	Improves facial contour, lifting for sagging	Improves skin texture, fine wrinkles, firmness

Ulthera lifts the structures beneath the skin,

and Thermage smooths and refines the skin surface.

Image for easier understanding

In other words,

• Ulthera = lifting

• Thermage = firmness and skin texture

→ The two procedures do not overlap; they complement each other.

2. So, can Ulthermage be done together?

To get straight to the point,

• Yes, it can.

• In fact, the synergy can be significant.

• However, it is not true that getting both automatically doubles the effect.

For example,

1. If the facial contour has started to collapse

2. The skin also looks dull and dehydrated

3. The jawline is becoming less defined?

Ulthera Thermage Ulthermage

In this case, an approach that refines the contour with Ulthera and improves firmness and skin texture with Thermage at the same time is effective.

However, what matters is,

• accurately diagnosing the condition of the skin

• treating only the necessary areas

• using an appropriate intensity

Ulthera Thermage Ulthermage

Rather than thinking, “Let’s do as much as possible at once,”

→ it is more important to understand what problems the face has

→ and at what depth improvement is needed.

3. Ulthermage combination is especially recommended for these people

Skin condition	Recommended procedure	Reason for recommendation
Sagging under the jawline and below the cheekbones	Ulthera	Areas that need structural lifting
Thin skin and many fine wrinkles	Thermage	When firmness in the dermis needs improvement
Enlarged pores and rough skin texture	Thermage combination	Thermage can help restore skin texture and improve firmness
Overall facial line feels collapsed	Ulthera + Thermage combination	Can improve deep and surface layers together for a synergistic effect

4. “Will one treatment be enough?” A realistic duration of results

Ulthera Thermage Ulthermage

• Ulthera: Results appear about 2 months after treatment and last 12 to 18 months

• Thermage: Immediate feeling of improved skin texture, lasting about 6 to 12 months

• When combined: immediate and gradual effects overlap,

allowing for stable changes in the order of skin firmness → structural lifting

Ulthera Thermage Ulthermage

5. Things you must check before Ulthera and Thermage treatment

6. Whether genuine equipment/tips are used

→ Check whether the equipment used at the clinic is original, from the manufacturer Merz (Ulthera) and Solta (Thermage).

Ulthera Thermage Ulthermage

2. Whether ultrasound guidance is used during treatment

→ For Ulthera, accuracy and safety are ensured only when the SMAS layer is checked with real-time ultrasound during energy delivery.

3. Avoid being urged to get an excessive number of shots

→ Too many shots for someone with thin skin can instead reduce firmness.

4. The practitioner’s experience and lifting approach

→ Medical staff familiar with facial anatomy should be able to adjust depth and direction according to each person’s facial structure to achieve true lifting results.

Ulthera Thermage Ulthermage

6. What matters more than cost is the treatment plan

Ulthera and Thermage are both high-cost procedures.

That is why emphasizing only the number of shots or comparing only the price can be risky.

For example, even with the same 300-shot Ulthera treatment,

• which area

• at what depth

• in what direction

you deliver it can make the results completely different.

Ulthera Thermage Ulthermage

What really matters is performing the treatment precisely, only as much as your face truly needs.

This is not just a matter of equipment; it is a matter of planning and diagnosis.

7. Be sure to remember this when combining Ulthermage

Item	Checkpoint
Whether combination treatment is possible	O (Because they act on different layers, combining them can create a synergistic effect)
Treatment order	Thermage → Ulthera is the usual sequence
Treatment interval	Can be done on the same day or at an interval of 1 to 2 weeks
Advantages of combination	Can expect simultaneous improvement in sagging and skin texture
Precautions for combination	It is effective only when treatment is performed on the necessary areas after analyzing facial structure

Ulthera Thermage Ulthermage

Ulthera and Thermage are procedures with distinct strengths.

In that they can fill in what a single procedure cannot, combining them as ‘Ulthermage’ can be a very satisfying choice if it is planned correctly.

However, the safest and most accurate way is to confirm through an in-person diagnosis what kind of lifting approach your face currently needs and which combination would be more effective.

Ulthera Thermage Ulthermage

For some people, Ulthera alone may be enough,

and for others, Thermage alone may be more suitable.

If you are considering Ulthera and Thermage in Mok-dong, I recommend starting with a consultation that includes an accurate analysis and explanation, rather than simply following a trend.

Thank you.

From Lim Young-soo, Chief Director of Troy Plastic Surgery Clinic

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